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<br />LEGAL DESClUPI'.Ila: wr(S) <br /> <br />&J:? 7&-F- tetet{ <br /> <br />;;f fj#--- <br /> <br />OIftfD.S lWIR El eltAJor- tv /tLIJ...er .fU01IB.. 6J 3 - } g. .l-?C:z.S.~ <br />lIIlIIllR'S -.. (p / ijo - Pea..-,-L 'Sfl ZI':I1J...~hd\S/ p-~ :3 3~'IO = <br />JOB AIIDRJlss (0 ill 0 ~r.... /' L Sf ;z t':.- ; J..y ;;"'1.. _ _ _ _ . <br />Z /tc-IIt:5 . <br />SlIIII>In5IOlI 0 J'l 119,.ve "'>.sA I-( <br /> <br />APPLlCAnoll FOll .PERfUy <br />CllT OF UIPBID.IU-S <br />8VILD.l.lIG DEPAltIftElfr <br /> <br />.1.0(3: <br /> <br />PARCELI.D.' J ~ ~~ - tJ - 1... <br />.... - <br /> <br />3 <br /> <br />J <br /> <br />IiURJC l"KOPOSItU =_.ew Ooostl1JCUoo -...A*li.tiOll --..Alteratioo. ----..RePair _XQstall <br /> _Si8Q _lIove ---..>>e-olish Re-~oF- <br />l'1lOPOSED USE: 'f Sin&1e YaaU,. ---.JJJI' _, of Units -/-Jt/S <br />. <br /> _c.-ercial -J,odusl:.. _S.d.... Pool Other <br /> <br />---Jlesblonmt a Beu.th Depart.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />Jt <br /> <br />Square Feet. <br /> <br />Be:J.aht <br /> <br />RESI.DENTIAL: <br />ootmtItCIAL : <br /> <br />AnAat (2) PLOr PLAlIS 6: (2) SKIS 01" BUIl.DIIIG .PL\IIS 6: (1) SET DERGY FOJIfS. *. <br />AnAaI (3) sns OF BUIl.DI1IG 1'IARs 6: (1) Sirr ElIERGY FOIUIS... <br />..OOPr OF CUlIlllAcr 1lllqU1JUID. <br /> <br />-BUILDllfG <br /> <br />$. <br /> <br />3 5 7 7~~ <br />J <br /> <br />PIlJUIIIS 1I1Ul0E.'i1lll <br /> <br />ValWltiOll of Total Coost:ruct.ion <br /> <br />F.J.RCTlUGAL <br /> <br />AIIP Sexvice <br /> <br />Florida ~r Corp. <br /> <br />W.R~E.c. <br /> <br />--.JIEClL\NICAL <br /> <br />s <br /> <br />Valaati.OIl oJ: llecbanical Inst.allatiOll <br /> <br />----PLUIlBIRa <br /> <br />GAS <br /> <br />ROo"IIIG <br /> <br />SPECIALTY <br /> <br />tn'E OF OOIlSI1WC'.tIOII: _Blod. _Fnme -5teel <br /> <br />111/ H <br /> <br />, <br /> <br />Other <br /> <br />f'lIJlSHED .FLOOB .8t.IWAnOllS r <br /> <br />fT. <br /> <br />IS PlIOJEcr III FLOOD ZOIfa AREA! <br /> <br />- <br />YES NO <br /> <br />.......................................... <br /> <br />Dlnl.ng <br /> <br /> <br />aJmJIAcmR SJtCI'l9.1 <br /> <br />OOIfPAlfr J IV -U 1 N G 'Y h J-e-- A- s S cn:.-- J:;-,fJ-G <br />Sl:ate Oed:. or Regut. . C Co CO "'/ Cf 3 fa 7 <br />Cit:;y License Registr*tion. -;!#: tJ7 _ <br />.......................................... ~. <br /> <br />Signature <br /> <br />RI..F.cnn (;1 AN <br /> <br />aJtIPMI' <br />State Cert. 0(" .R.eg:lst. . <br />CitT License Regi61:ratiou f <br />.......................................... <br /> <br />5f-t.ure <br /> <br />PlDlBq <br /> <br />aJIIPMr <br />State Cert. or Regist. . <br />Gl~ LIcense Registration , <br />.......................................... <br /> <br />5igoat.w:e <br /> <br />~"CAI, <br /> <br />WU'MI' <br />State Cert. 0[' Resist;. , <br />City License Registration . <br />.......................................... <br /> <br />il8nature <br /> <br />mm! <br /> <br />WlfPMrJ-1J V) vG/ })J€ I~soc- <br />~- ~ State Cert. or Reei.s~. . G Ceo <br />~ ::...L-... Cit:y License Reglstr..tlon t <br />.......................................... <br /> <br />r~c.. <br />Q93Ci.:? <br /> <br />i 1.gnat.ure <br /> <br />oPPLlCAYlOll APfIlOVIIu 8Y <br /> <br />I'ERIIIT OFFICER. <br />