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<br />^,~LIcA110N rOR PKRHtT <br />dITY Oil ZEl'lIYltIllLLS <br />BUlLblNU'bKPARTHBNT <br /> <br />(] J.tV oj 'iJ <br />Vy J-/' ?O <br /> <br />~ . , ; :, <br /> <br />OWNER · S NAtIK <br /> <br />H~p<- /p1#S71(/1E f1/ f}JftJ~S <br /> <br />I <br /> <br />OWNElt. f& ADnUSS ..? s,;U; 7 Jlw y .)''1 ,JJ, z6Pd r Fe JI / L-L-J <br />JOB ADDItItSS"<Or-df 877 ~:l /lJpwtPt'Jl<r /)1( , <br /> <br />PIIONE <br /> <br />'7 p,;; - .;; d ;7 b <br />r-'! -JJstll <br /> <br />LEGAL DESCRIPTION! I.OT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEt. t. n.' ~ -.). 10 - /;( )- t' J /0 - tJ 1/ cJ{JCJ- tJ::J. J-o (OBTAIN FROM PROPERTY TAX NOTICE) <br />woRk PROPOSED I ~ew ton~truetlun ~ddltlun ~lteration ~epair ____Install <br /> <br />_S1gn <br /> <br />---"ove <br /> <br />-----Pe.olish <br /> <br />PROPOSED USE! ---=::Singie FuilY <br /> <br />----11/1' _, of Units ---1i/1l <br /> <br />_t..-ercbl <br /> <br />____lndust. _Swl.. Pool ___Other <br /> <br />~estaurant & Ilealth Deparblent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />CoAJCl?_6-rc: - SII.ELJ - C/JI<;oO~1 <br />X /0 . blJ.... Square Feet. PiP 9 'Ueight <br />ttA/tf)ii~ -'</JoP <br /> <br />BUILDING SIZE: / IJ <br /> <br />RESIDENTtAL: AttAt:u (2) PLOT l'LANS Ii (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />coHHlRclAL! AttACH (3) SETS OF BUILDING l'LANS Ii (1) SET ENERGY FORMS. <br />PioPtuttt StJRVKY ltEQUtRBD l'OR' ALL NEW CONSTRUCTION. <br />." .. <br /> <br />.' ~ <br /> <br />PERKITS.REOUESIED <br /> <br />~UILDING <br />~LECTRlcAL <br />--"ECIIAlIICAL <br />-'LtJHBING <br /> <br />.$ <br /> <br />I<P~{)O <br /> <br />valuation uf Total Construction <br /> <br />NtP Service <br /> <br />IIlorlda Power Corp. <br /> <br />W.R.E.C. <br /> <br />,$ <br /> <br />valuation of Mechanical Installation <br /> <br />GAs <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COtfSTRUCTION: ,,~loclt _Frue ",,"--Steel <br /> <br />Other <br /> <br />FUUShED FtooR ~LBVAll0NS: ,q. f1'. <br /> <br />1S 'PIOJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..".................,.................... <br /> <br />BUILDER <br /> <br />CONTltACTOtt. SECTION <br /> <br />d~.. rd' . "totWAHY.,.. /Ja./}LJA.M. <br />. ._" gute tert, or ReRiot.' C,e cO ~ VI.J'D <br />~ _ tHy License Registration I J>'.f <br />...................,...................... <br /> <br />Signature <br /> <br />EI.BCTRlClAM <br /> <br />COtt.PANY <br />state Cect. or Regist. , <br />tity License Registration , <br />..................................,....... <br /> <br />SiRlUltuce <br /> <br />COMPANY <br />State Cect. oc legist. I <br />elty License Registration f <br />.......................................... <br /> <br />PLtlHBER <br /> <br />Signature <br /> <br />COtIPANY <br />State Cert. or Regist. , <br />city License Registratiun I <br />.......................................... <br />. <br /> <br />HEGlIANICAL <br /> <br />signature <br /> <br />Signature <br /> <br />COtIPANY <br />StAte Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />OtHER <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />