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<br />^,~LICArlUN rOR ~KRH1r <br />CIty or ZE~ItYlUItLLS <br />BUlLblNU'bKPARTHENt <br /> <br />.ct <br />3" L[ <br />3/ <br /> <br />~'\ " <br /> <br />OWNER t S NAHK rI J-- R- / s: /II II /(.t<- <br />1- r'/ <br />OWNEtt.S AbbUSS LlJ1-Ro J'77!) tf //,E.tUEL- <br /> <br />PilON 8 <br /> <br />7f'd. -.J::> 7'" <br /> <br />p~, <br /> <br />JOb ADDR~S <br /> <br />S/ir?c <br /> <br />Z -/l/Lt-r' r/, <br /> <br /><.?JS-v/ <br /> <br />LEGAL bESCRlPtlONt LOt(S) BLOCK SUBDIVISION <br />PARCEl. l.b.' .J-<)k~ -;2} - 03/0 - /h:?~OCJ- LJRPo (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORk PRU~OSBDt ~ew Coogtruction ----..Addition ----..Alteration -.Jtepair _Install <br />_Sian ----,"ove ---Pe.olish I <br />PROPOSEb tlSEt ~iligle ruily ---111 F _, of Units ---11/11 <br />_C~erc1al _Indust. _Swim. Pool _Olher <br /> <br />--Restaurant Ii Ilealth Veparblent Approval <br /> <br />DESCRIPTION OF kOJUtt COA/C-,f.t:7~ - ~/'///J - SL~''c~~Cl/'? - t!"-f,,,fPc'!e-r- <br /> <br />BUILDING SIZE: ~~ X 15: . t 9Jo Square Feet.9 >~'7YJieigtlt <br /> <br />REStDENTIAL: AttAtl. (2) PWT PLANS &: (2) SEtS OF BUILbING PLANS Ii (1) SET ENERGY FORMS. <br />COtOO:RClAL! At'tAtlI (3) SEtS OF BU1LbINU !'LANS , (1) SET ENERGY FORMS. <br />~RU'tlttt SUttVIY dQUtltEb rOll' ALL NEW CUNStRUCT10N. <br />, . . <br /> <br />I <br /> <br />pERKltS,REOUBSIlb <br /> <br />~ILDING <br />~LECTRlcAL <br />--1tECllAMlCAL <br />-----1Lutt.btNG <br /> <br />.$ <br /> <br />o? LittS: 00 <br /> <br />valuation ot Total Construction <br /> <br />AtI.P Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />,$ <br /> <br />valuation of Hechanical Installation <br /> <br />GAS <br /> <br />JtOOFINU <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION t \ ...........Block. __Frue ",---Steel <br /> <br />Other <br /> <br />FUUSHED ,tooR JU.BVAtloNS:. ,'. ; Ft. <br /> <br />1S 'PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..,........t..........,.t.t............... <br /> <br />BUILDER <br /> <br />tONTltAcIOa. SEctION <br /> <br />. d:... OOIU'ANfd /1,:;:$ /J bl '" <br />4~- - ... NlAte tert, or ReRiet. . C/t<-o"?'IbtYZl <br />clty License Registration I J>~ <br />.................t...t......t............. <br /> <br />Signature <br /> <br />EI.BCTRltlAN <br /> <br />coMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />..t......tttt...t.....t...........,....... <br /> <br />SiRDAture <br /> <br />coMPANY <br />State Cert. or Regist. I <br />City License Registration' <br />.......................................... <br /> <br />PLUHBER <br /> <br />Signature <br /> <br />COMPANY <br />state cert. or Regist. , <br />city License Regiatration I <br />................t......................... <br />. <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />state Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />OIRRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />