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<br />AltitLlc::ArlbN roll 1'1OOU.'l' <br />aITY UP II,nttwlLLS' <br />.8U1LDtNU"blfAl11tlttt <br />,! "\;1. , <br /> <br />ONHU.S tWIB tJt:UJI2Ca: 8~t/5RJ.JA./.)/I/~/C <br />OWIIIlt'1J AbmtDS 4tJT- 7/ 6/~9 II f)r;E Vl)y <br />s/fm,E: <br /> <br />JO~ AtJoltltss <br /> <br />LEaAL IJBSCRll'tIONt WT(S) BLOCIt SUBDIVISION <br />PARcel. tlob.' 3-::2b -c2/~LJ]/o -t'tJOC)t:J- cJ~o (OBtAIN FROM PROPERtY TAX NOTICE) <br />~oRf( I?RUPUSItUt~" Ootuattuct!otl ---"ddlUtltl ---"lteration ---..Repai... _Install <br /> <br />_5i8l1 <br /> <br />PROPOSBIJ USE! ~ligle FaMilY <br /> <br />--1tove <br /> <br />---Pe.olish <br /> <br />---1i,r _, of Units ---.J:I/II <br /> <br />_C~<<!rci.l <br /> <br />_lnduBt. _Swill. 1'001 _Olher <br /> <br />--Restaurant.. Ilealth DepattJlent Approval <br /> <br />DESCRIPTION OF WORkI COIJGRl!:r~ - S/JE.LJ - saEEJC.J ROiJftJ- A?Ca~ <br /> <br />BUILDING SIZEt Jl . 3"76 Squate Feet.QTo F'lIeigllt <br /> <br />REStDENTlALi, ^tTAt~ (2) PLOr ,LAMS & (2);SRTS OF BUILDING PLANS" (1) SET ENERGY FORMS. <br />cottHlRotAL I., Art'AtII (3)' SitS .U, 8UtIJJING 1-LANS Ai (1) SRT ENERGY FORMS. <br />'lutttnttt SUltVlt ,l\IQU1R1lJ "01' ALL NI" OONSTRuanUN. <br />,'I' " . '; ,. ' <br /> <br />. I <br /> <br />~IWING <br />~UtCTRlcAt. <br />---"EcnAJllCAL <br />----'LutlblMC:: <br /> <br />.\ <br /> <br />P~TS.~UBSTEb <br /> <br />.. $. ;) d. .?tJ . c,' D <br /> <br />VAlua~lOd ut TotAl ConBtruction <br />, 'j <br /> <br />... . <br /> <br />AlII' Senrice <br /> <br />;1' <br /> <br />tlortda Power Corp. <br /> <br />W.It.E.C. <br /> <br />,$ <br /> <br />Valwatiod of Mechanical Installation <br /> <br />GAS <br /> <br />..ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CUNSTRUCllUNt \ ....-.....Block. _Fraae _Steel <br /> <br />other <br /> <br />FIJUShBD .tooR iUlVATIOftS!..... ~n · , <br /> <br />1S ',aUJICT IN FLOOD ZONB AREA? <br /> <br />YES <br /> <br />NO <br /> <br />'i...tttt.....,..t....,t.........~........ <br />. . . <br />. . . <br /> <br />BUUJlBR <br /> <br />.: ", mtmlAC1'oR SECTION <br />, " 'It' . .:,' ./)Cf /t-Ll{/l1, <br />~ l~, . .'ii::':~;t. '~r ReBI.t. . ,Le~ .J<lb.FO' <br />~~. ~t11 Ll~@na~ Re81gtra~ton , d>s <br />....................,..................... <br /> <br />Signatute <br /> <br />SiRl18tw:e <br /> <br />toKPANt <br />state Cert. or Reglst. , <br />aity Llc@nse Registration , <br />.......................................... <br /> <br />EUL'IRlClAtl <br /> <br />OOIWANY <br />Stat@ tert. or R@glst. , <br />City Licedse Registration , <br />.......................................... <br /> <br />FLUHBBR <br /> <br />Signature <br /> <br />WHPA"Y <br />state cert. or Regist. , <br />. oity License Re8i8tration , <br />.......................................... <br />. <br /> <br />ftEGllANICAL <br /> <br />Signa hire <br /> <br />COHPANY <br />stAte cert. or Regiat. '___ <br />tity I.icense Registration , <br />.......................................... <br /> <br />o-rnER <br /> <br />Signature <br /> <br />^PPU.C^TION APPROVEb BY <br /> <br />PERMIT OFFlCJ.;R. <br />