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<br />.WPL'tChTlON FOR rER/fIT <br /><..-xn' OF ~~lU.r(l..t.S <br />nOltliUlG DImlJatlmT <br /> <br />i <br />o 4-~ E "\. 'r ~10MF. ' 8") 3 <br />):}. f PLfi (;;4- T~' <br />2.-.E" P J./ Y f!... H. \ ,\ S F L'fl <br />nr.o<::lt--StJD'Pl'IISIOL-., <br /> <br />~. >)l~ <br />+~Ji.' <br /> <br />.' OWNER'S ~ <br />J". "J;' <br />OWNER, S'l ADDRESS <br />,~-;*.. <br />, Jon ADDlUtSS <br /> <br />111 f.}{tG R E~ T <br />73 2~ <br />(S' yt fVt.- €-- <br /> <br />,- ..f' .:l ' <br />, . ..., s..:,;- ~ . <br /> <br />$'31.(StrJY b <br /> <br />J <br /> <br />LE~' J)ESCRIPTION: tor(s) <br /> <br />PARCEL l.D'.' .-' .. <br />R€-~W4--c.L-- H (f~T fl...;f 81"5 (fA- <br />"1>lUC PROPOSED: lie'" Construction ---ftdcJitiOQ ~teration --ftepair ~lnst.ll <br />,_ I <br /> <br />_Sien _Hove ---->>caolish ' .2 7O~ <br /> <br />PROPOSEllllJiB: . ~ele r..ity --Iftr -' of Units ,<1I1tH <br /> <br />_eo..crcial <br /> <br />-.--Indu.st. ~wi.. Pool ' . <br /> <br />"~.' ." <br />~' 't ; <br />: 'Other <br /> <br />ncst3uront & nea1th Dep3:c~t Approval <br /> <br />- ~------ <br /> <br />BtTI'[J)IIfC SIZE: <br /> <br />--x-.~--~-_._'-- .-.--- <br /> <br />Square Feet. <br /> <br />^. Height <br /> <br />RESIDENT'IAL-:AT1'ACIJ (2) PLOT PLANS, (2) SKI'S OP BUUDING PLMS & (1) SY.r lNERCY FORKS..* <br />COHKERClAL: ATrAClJ (3) SE.1'S Of' nUIl.DI~G PI.ANS &: (1) sa F..NERCY FORtIS.." <br />*tcoPr 01" CON'nAct RBtlULBJJD. '; <br /> <br />)'F.RKITS RF,OUP'",~TP.D <br /> <br />---DUItDING <br />--ELECTRICAL <br />bCUANlCAL <br /> <br />$~~ <br /> <br />,.--.-- Nil! Sc.:.L v l\;c <br /> <br />$ ~') 4-7~(O-~ <br /> <br />ValU8tioQ of Total constrvctioR <br />--.----rlorida l'~T Corp. <br /> <br />..... ~~ <br /> <br />, -1' <br /> <br />II.R.E.C. <br /> <br />V31U3tion of Ked~nic~.l Install:atioo <br /> <br />~~ <br /> <br />,,_OJ, ,....~' <br /> <br />.,...JLUHB'INO <br /> <br />.(;AS <br /> <br />1t()t)P'ING <br /> <br />SPECV.itr <br /> <br />TYPE 01" CONSTRUCTION: _Block. ~ _Steel <br /> <br />Othet' <br /> <br />':; <br /> <br />FIKISlIED nooR ELEVATIOaQS: <br /> <br />fT. <br /> <br />'IS P.ROJ'ECT IN FLOOD ZONE AREA! ; <br />, YES <br /> <br />y - <br /> <br />t{o <br /> <br />..**t~...........................t..tt.... <br /> <br />" <br />!: <br /> <br />1,. <br /> <br />BUILDER. <br /> <br />\, <br /> <br />. Si.Cn3tu~e . <br /> <br />E'LECTI{ICI~ <br /> <br />OOW't\NY <br /> <br />Sir-"3t~J're <br /> <br />. . <br /> <br />Sicnature <br /> <br />". <br /> <br />IJJ ft~ <br /> <br />, <br />State Cc.rt. 0(' ~cc:ist~ I <br />Ci~y License Rceistration , <br />.**.......*........*...........*~..*.~.~** <br /> <br />courANt <br /> <br />PUmDER <br /> <br />Si~tur~ <br /> <br />-(tP6 <br /> <br />aIf::. d lXlIIIP^"Y ,$"OU\rj€"-~ ~+..,J <br />__ ~ '" S~te Cert.. or Rcgist.' , f? ~ 5:.0"'2-2- <br />// ' ' ~c),ty License Jteeistroation . . h ~~ <br />*..A*....*..*.*.**..*.*~~.*......*.*...... <br /> <br />tWClfAlfICAL <br /> <br />. <br /> <br />00ltP~ J2/JLI-: <br />State Ccrt. or Reei$t- . <br />City License Reci$tration . . <br />.......................................... ' <br /> <br />-. <br /> <br />~- <br /> <br />Sienatux'o <br /> <br />APPLICAnON ~X-.ROV&J) DX' <br /> <br />FE-RIIlT OFFICER. <br />