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BUILDING PERMIT APPLICATION(Page I of 2) <br /> INDIAN RIVER COUNTY/CITY OF VERO BEACH <br /> I. LEGAL DESCRIPTION: LOT OG BLOCK SUBDIVISION App.Date: <br /> FL Bldg Code: <br /> PARCEL NUMBER.3 0- a2 c�- O��Q D /)IQ 42-Q Qf)Q .D Supplements.tax fro _ <br /> 10B ADDRESS �tiSTDnR t\r�Si9ST//3N t L 3a 95F� <br /> II. CONTRACT/ESTIMATED CONSTRUCTION COST: $ G, DDD <br /> Permit Fee=Construction value multiplied by 00415 Minimum Permit Fee=$200 00 <br /> III. TOTAL SQUARE FOOTAGE UNDER-ROOF: 1 pG 0 #of Bedrooms: 3 <br /> SF Under Air //l;ti0 #of Bathrooms: CL #of Garages: Gtr <br /> IV. JOB DESCRIPTION: 65we G2�T S cS�I�/!7 G/LEfIf�CC �I//70 <br /> �dn0.�e� el�trrc�!. �di�c �er�l��./�. s/��r�c . /�.:rs�/� a✓� �.� .S�r�a�ury <br /> V PROPOSED USE(Check All That Apply) (Check All That Apply) <br /> RESIDENTIAL NEW CONSTRUCTION <br /> COMMERCIAL ADDITION <br /> MULTI-FAMILY ALTERATION <br /> NAME&ADDRESS CONTACT INFORMATION <br /> cT�SP7QfC1 Name: <br /> OWNER 1n 39 Sa174EI E-MAIL. <br /> rL 3 3 DAYTIME PHONE NUMBER. 561,- �fo1Q-`l026 <br /> Fax: <br /> Name: <br /> TITLE HOLDER <br /> (If Other Than Owner) E-MAIL. <br /> DAYTIME PHONE NUMBER. <br /> J4m,cS ��LC/1pPJ /UOQ Name: j-omes ff B�l(tity,er <br /> Sem u�ce , <br /> CONTRACTOR LL d. <br /> LICENSE NUMBER:C9e1-51?9d/ E-MAIL. j/M gJ-tg lra,:� <br /> COMP CARD NUMBER. ��/02 3� DAYTIME PHONE NUMBER. <br /> ,W6 /fib foo abods Fax: <br /> E-MAIL. <br /> ARCHITECT <br /> DAYTIME PHONE NUMBER. <br /> E-MAIL. <br /> ENGINEER <br /> DAYTIME PHONE NUMBER. <br /> -�74- ^ �' <br />