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App E - 5776 N Kings Hwy #CATV
Date: ____________________ Permit Number: _____________________ Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ________ Residential ________ PERMIT APPLICATION FOR: PROPOSED I PROVEMENT LOCATION: Address: __________________________________________________________________________________________ Legal Description: ___________________________________________________________________________________ __________________________________________________________________________________________________ Property Tax ID #: _________________________________________________________________ Lot No.__________ Site Plan Name: __________________________________________________________________ Block No. _______ Project Name: ______________________________________________________________________________________ Setbacks Front__________ Back: _________ Right Side: _________ Left Side: ________ DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: Additional work to be performed under this permit – check all that apply: __ HVAC __ Gas Tank __ Gas Piping __ Shutters ___ Windows/Doors __ Electric __ Plumbing __ Sprinklers __ Generator ___ Roof Total Sq. Ft of Construction: ___________________ Sq. Ft. of First Floor: _________________________ Cost of Construction: $ _____________________ Utilities: __ Sewer __ Septic Building Height: __________ OWNER/LESSEE:CONTRACTOR: Name__________________________________________ Address:________________________________________ City: _________________________________ State: ___ Zip Code: ______________ Fax:____________________ Phone No._______________________________________ E-Mail:_________________________________________ Name: __________________________________________ Company: _______________________________________ Address: ________________________________________ City: ______________________________ State:____ Zip Code: ________________ Fax: __________________ Phone No. _______________________________________ E-Mail: __________________________________________ State or County License: ____________________________ ¨ ëééêÒÕ·²¹-Ø©§ýÝßÌÊôÚ±®¬Ð·»®½»íìçëï ÔßÕÛÉÑÑÜÐßÎÕóËÒ×ÌïïóÞÔÕïìéÔÑÌîêøÓßÐïíñïîÒ÷øÑÎíéïèóîïèì÷ ïíðïóêïíóðîìïóðððóð ÍÐóëééêÒÕ·²¹-Ø©§ýÝßÌÊ Ý±³½¿-¬Ð±©»®Í«°°´§ è éîî ݱ³½¿-¬óß²¬¸±²§Í°®·²¹-¬»»´ôݱ²-¬®òÍ«°ªò Ù¿®§ÖÙ·ºº±®¼ íçêðÎÝßÞ´ª¼ôÍ«·¬»êððî Ù¿®§ ÖÙ·ºº±®¼ôײ½ò п´³Þ»¿½¸Ù¿®¼»²-íëðÍÉÔ·²¼»²Í¬ ííìïð ͬ«¿®¬ÚÔ ëêïóèðìóðçéí íìççé ééîóîïçóðïìê ¿²¬¸±²§Á-°®·²¹-¬»»´à½¿¾´»ò½±³½¿-¬ò½±³ééîóîèêóðçëì ¹·ºº»´»½à½±³½¿-¬ò²»¬ ÛÝïíððïëéì ì ÚÔ Û´»½¬®·½¿´ ײ-¬¿´´²»©Ý±³½¿-¬°±©»®-«°°´§½¿¾·²»¬±²¬¸»-±«¬¸-·¼»±ºÚÐÔ°±´»´±½¿¬»¼¿°°®±¨òïëíº¬-±«¬¸ ±ºÐ¿½·º·½ßª»ôî𺬻¿-¬±ºÒÕ·²¹-Ø©§òλ³±ª»¼¿³¿¹»¼°±©»®-«°°´§½¿¾·²»¬©¸»²¬¸»²»© ½¿¾·²»¬·-»²»®¹·¦»¼