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<br />Building Permit Application Affidavit of Intent <br /> <br />I, ~)tJe(-t ~. bros.~c~. " do hereby state that this building <br />COntractor . ' <br />Permit application for .;3t l1~ rl-D~( , C C"i '\ ( ~ is for a . <br />, LocaUon <br />New' customer m~~nes or is a Spec unit. <br />I also will have the building permit application picked ' <br /> <br />" up within 30-days of notification that the application is <br /> <br />, , <br /> <br />Ready. I can be contacted at -.2J~;- 9,<2<6 J fHn{) or ' <br />'~ . <br />I , . I further understand that <br /> <br /> <br />E <br />in order,to pick up the application and have the permit <br /> <br />issued I will need, as a minimum, to bring the <br /> <br />Following: ; <br />~ . l' <br />1 ~ Deed showing ownership of the lot <br />2.' NOe or affidavit required by Section'713, Florida <br />Statutes . <br />3. Utility Receipt or where applicable the Septic <br />Permit from Health Department <br /> <br />Signature: .1'---. <br /> <br />Name: 1?Ober+ J. bJ1)SS 0 <br /> <br />Contractor No':-b J VD / '7 <br /> <br />t::" <br /> <br />f1 <br /> <br />'" <br />