130 Coastline Rd - BC97-002500 (1997) (COMM INTER REMODEL) (A)1,50 (l 7/ 01
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CONTRACTOR
ADDRESS
PHONE #
LOCATION
OWNER
ADDRESS
DATE
PHONE #
I S�
C'� -aSI PLUMBING GON7RAGTOR Mt,C i -^t
ADDRESS
PHONE #
G,l 7 ELECTRICAL CONTRACTOR
ADDRESS
PHONE #
"MECCHANICAL CONTRACTOR
/ ADDRESS
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MISCELLANEOUS CONTRACTOR
ADDRESS
SEPTIC TANK PERMIT NO.
SOIL TEST REQUIREMENTS (�_)
FINISHED FLOOR
ELEVATION REQUIREMENTS (��)
ARCHITECTURAL APPROVAL
SUBDIVISION:
PERMIT # l �LOT NO. .
JOB l ���i'If�i►GGI�-�.IBLOCK:
SECTION:
COST
FEE $
STATE NO. K 6 C C)16
FEE $
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SQUARE FEET:G���
MODEL: -
OCCUPANCY CLASS:
INSPECTIONS I
TYPE DATE OK REJECT BY
FEE $ ENERGY SECT.
CERTIFICATE OF OCCUPANCY
DATE: ISSUED # J i c1 DATE:
FINAL DATE l
EPI:
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ENGINEERING DESIGN, INC.
RO.BOX 520&95
LONG- WOOr.), FLORIDA 32152-0695
(401) 699-4500
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130 COASTLINE ROAD