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<br />_'S _ ~ ~.~ ~ <br />_'S ADDIIIlSSf~1 :, . - WWp'~ <br />JOB ADD1lIlSS &9tJfi ~ ~ <br />LEGAL DESCIIIPTIOB: I.Or(S) _ - ~ BLlJC1(~ SUBDIVISXOR ~ cJnKf <br />PARCEL I.D.' . ":?-c2'-cJI - ~/6 0 -(X)OCO - C>'t'c9c) (OBTAIN FROM pmPERTY T~ NOTICE) <br />WORK PROPOSED:bew Construction --...Addition ----1Uteration ---..,;Repair. ~Insta1l <br /> <br />;;; ~ /I~- 1~/i-7} <br />(j\, /..,'J/1~t~ <br />APPLICATION FOR PERKlT i"i. g'1 ./",r h trP.' <br />~~~~GZ= () d~, '7z,~17 <br />1 't,. ./_~ <br /> <br />PHONE 79/- ) .?~ <br /> <br />_Sign <br /> <br />----.Hove <br /> <br />---Peaolish <br /> <br />PROPOSED USE: l{.Single Fa.ily <br /> <br />----.H/F _, of. Units ----1:l/B <br /> <br />_ec-ercia1 <br /> <br />_Indust. _Swia. Pool . _Other <br /> <br />---.:Restaurant &: Health Departaent Approval <br />DESCRIl'rIOB OF 1lOIl1C. 4 r~ Bu.. <br />BUILDING SIZE: X Square Feet, d-..:::L.. Height <br /> <br />RESIDEHTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET BRUG!' POlUfS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET BRERG!' FOBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />RT .F.CTlUCAL <br /> <br />$ ')0. a:?O <br /></ ' <br />I "5LJ AHP Service <br /> <br />$ 3/00 <br /> <br />Va1uation of Total Cons.truction <br /> <br />. ~ t .' <br /> <br />---.BUILDING <br /> <br />x <br /> <br />. ,;] <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1fECHARlCAL <br /> <br />Va1uation of .tIechanica1 Installation <br />~OOFING SPECIALTY <br /> <br />_Praae _Steel <br /> <br />Other <br /> <br />----..PLUKBIRG GAS <br />TYPE OF COR~TRucnOH: X Block <br /> <br />FIBISBED' FLOOR ELBVAnORS: <br /> <br />FT. <br /> <br />,IS PROJECT IN FLOOD ZOHE AREA! <br /> <br />YES 'NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION' <br />/IL'-. ' <br />RmlJlER COHPAHY ~()./,j. ~.'~ <br />-4 11 * . State Cert. ~ Regist... ,tj'}'7 . <br />Signature ~ ~ City License Registration' I?J <br />tI . ****************************************** <br /> <br />RT.F.CTRICIAR . COMPANY S+ S" ;::-.41" Xu. ' <br />"17 .. #/7 '7 _ _ State Cert. or Regist. . <br />SiDnJltureY~Uf'~ . City License Registration', f~~ <br />***....*...*.............................. <br /> <br />COMPANY ~Z ~k <br /> <br />, 1 ' / ~ / " State Cert. or Regist. , <br />Signature t;),I) 61AA ./ q City License Registration f / ;;;1 <br />. ....................................... <br /> <br />fJ. ~c4/c- <br /> <br />PLUKBER <br /> <br />HECRANlCAL, '. n/J ')/]'-- <br />Siguature~ . ~~ <br /> <br />COMPANY <br />State Cert. or Regist. , CAco3LVf./.1 <br />City License Registration' ~.c;'.3 <br />*.*.*..**.*.....*.....*...*.*.........*... <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />*****..******.*........*..*.*..*...*..*... <br /> <br />Signature <br /> <br />APPLICAnON APPROVED B% ~._._"._,~,w.___.-' ~ <br /> <br />rl"-' <br />"".-.J M" .~.' <br />',p...,./' <br /> <br /> <br />e..J <br /> <br />,.' .~"~,v. <br /> <br />c "",-,"--""'"--''''' <br />