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<br />.\ttf'I.'ICA'tIOR FOR PE'IMIT <br /><-"'tn' ot" ~~lUat.'LS <br />DOILl>UG DIWAlmIENT <br /> <br />t: <br />I'..'.":.' <br />, ';+ "" <br />.' ,Jon ADDBBSS <br /> <br /> <br />, <br /> <br />.' OWNlIP S NAHB' <br /> <br />fh R.. ~ <br /> <br />OWN~' s~ MDWS 9-~ 2 Lf <br />f~~L/ <br /> <br />S DU (1- <br /><6rH <br /> <br />X'" t-rf <br /> <br />~J <br />gr <br /> <br />2 e;.PJ-( )!A-H f(( $ <br />2-4J..1 yfLH' IS' <br /> <br />PlIONR' ~ 13 - 7~!t, 02'1 ( <br />H...i44,; :~8.r?o <br />I fI <br />. . ~l .: ,~ <br />FJ.A-;t; ~\~,: <br /> <br />LEGAL DESC'JUPrION: toTes) <br /> <br />n~SODDIVISIONL <br /> <br />J <br /> <br />. <br />r, <br /> <br />PARCEL X.D.' <br /> <br />~RK PROPOSEDI~ew Construction ~ditioQ ~ter3tion ~ep3ir ~Instsll <br /> <br />_Sien <br /> <br />_Hove <br /> <br />--->>c.-olisb <br /> <br />I ,~ <br /> <br />PROPOSJID U~R: piDele Fa.ily <br />_eo..ercbl <br /> <br />---Jf/r _' of Units, <br />hdust. -5wi.. Pool " , <br /> <br />s. ...,. <br />~/H <br /> <br />,,' I (_ '~ <br />'.~ Other <br /> <br />Restaurant & nea1th Dep:l~~t Approval <br /> <br />BUILDING SXZ.s: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL"^TrACII (2) PLOT PLANS & (2) SIl:l'S OF nUll.DINC PlJ\HS & (1) SET ENERGY FOMS.-. <br />COHKmC'I.AL: ATrACU (3) SE.TS Of' nUILDU1G PUNS & (1) SET Y..NeRGY FORtIS.*" <br />..con Of' COHI'kAC't RllQUlIWD. <br /> <br />)Jf.mfITS RP,OUP...C)TP.O <br /> <br />-lSUILDIHG <br />ELECTRICAL <br />.pmClWrtCAt. <br />__.l'LUl1BINO <br /> <br />s <br /> <br />Valuation of Total Constr'\lction <br /> <br />$ <br /> <br />Nil' Service <br /><9D <br />/I~O <br /> <br />Flor;ida Power Corp. <br /> <br />'II 1 <br /> <br />.11 .1.. E. C. <br /> <br />V31u:.tion of Hech.onic~.l Insta1l3tioQ <br /> <br />C.\S <br /> <br />ROOP'IHO <br /> <br />SP~CTM.Tr <br /> <br />'~i <br />--~ - ..:..;.;.;.';' '"N..~.~ <br /> <br />TYPE OP CONSTRUCTION: _Block ---.F'r3'llie _Steel <br /> <br />Othet" <br /> <br />,t <br /> <br />FIHISlIED nooK EU;V^TIO~S: <br /> <br />FT. <br /> <br />1:5 P.ROJ'ECT IN FLOOD ZONE AREA? ' <br />, YES <br /> <br />. - <br /> <br />.....t.......ee..................t..tt...t <br /> <br />NO <br /> <br />Q)m'RACTQ~ ~JSctl.2t! <br /> <br />, BUILDER <br /> <br />. Sienature ~ <br /> <br />;VY+ <br /> <br />: <X>>lPAHY <br />State Cert. or Recist. . <br />Ci~ License Recistration . <br />.......................................... <br /> <br />~. "f",t' <br /> <br />" ~ <br /> <br />EI.ECTR'ICTAl( <br /> <br />1/\ COH.I'4\NY <br />" /lI y 't- Stat.e Cart. or Regist. , <br />,... '. City License Recistr<J'tion , <br />*6............~...........t..tt.t~.*..~k.. <br /> <br />SiP.n3 t~lre <br /> <br />.... <br /> <br />PLUKnER <br /> <br />/LJJ4 <br /> <br />CQ'W:JANY' <br />St."ltc Cert. oX' Rcaist~ , <br />Ci~y License Rceistr~tion , <br />.***.*..*......t.t.t.t...tt...tt~ttt~..tt. <br /> <br />Sic.natuX'e <br /> <br />". <br /> <br />~ar^tlICAJ. <br /> <br />~ ~L CO'Il'ANY Sl)U~~ ~+~ n:/-- <br /> <br />--g.. State Cert. 01" Rceist., , "A.. t'\1 00 IS" 0 '2.. ~ <br />~~ ~ -- Ci.t:y License Rec.istr3tion , . / I D <br />..*~*.......tt.........~*e...*............ <br /> <br />SitnaturC! <br /> <br />0TIJF.l1 <br /> <br />. . ~)I/\ ./ C01fP~ <br />Y 1r St3te Ccrt. or Rceise. . <br />Ci~ License Rcei$tration . <br />..................................*.t...** <br /> <br />SiCC3turc <br /> <br />APPLICI\nOK ~l).ROVEO Bt <br /> <br />P.ERI{IT OFFICER. <br />