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Building Permit Application
All APPLICABOEJNFOMQSr-3EC0MMUD-;FbWAPOLICA_T 10 Id',9CAOUPTO m Permit . N T erg itation, 80014. Pvrm' Ift AppW PlaprWn9vnd,Devd0pm'ent Servkos le,sl en iaI b " "I aqlldlngvq# Cp4gRggul0lon, Wislon X, ,2300, VirginimAvenue, Fdrt0&ce'.FL'340$Z - Phones 245-18 72) , 2 53 Funding Phone- (7 ' 46 'J. F�k, .Additem. 5750Qbaha Ave Property, Tax ID,#:- 2:312-1444-0 003400648", Lot No. Site fte Plan Name: P4feiEhIlf. Ne SecO60,ligg-I (Aff td Uiwd hl� - Aooiti-ohalwork,t.a,,--be,.Oerfijt,rp-i�d, -un doe 1*10400k,* 04:411"04 apply Tan'Pj w . h , �, dra irido!0�1.pdqrt �4 k ps, Wing dh Plumbing _ SpriAllet er6ior, Pitch -h --)Ltlectric - Totak5q., Ftf Qoit-u.c..--o on r, -!on:' 38 -,t Utilities.� ;O�4, 'Sdwer- C J�dlldj Ing Cost ofConstrUctldfi:---$.,. Height V A T P9, Nd6ie, NIIM,� r066ffv,MhM 7 N Sw Thomas n. Addretg:� -ef44"'. W— irajjoh ,am,6-, LC CitYl stme-RL AA tirponAt Z10 99GI, ,C-odo' -, 34ty Fax ci.. i6ld e _SCh, -'s ;Fj, No zl.33 p :Phone _,code Phone -,7 96-10(m, X- . ..... Fill in Ide simple Tit eftlder on het 'ai the Owner listedabove)` Unnigng• $tat@,,O,( County Lic4nse,,FS ;from -- if vcilu6,of,,coitstrtialoti,,Is-45oo.,or Ifvalue vfHAVCU z506,:demire, a'RECORQED