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<br />APPLICATIOIl FOR PERKIT <br />CIn OF ZIl1'UIKH IU,S <br />BUILDDIG DEPAR'IKEm' <br /> <br />OWNER'S lWtE Sf, <br /> <br />."j"o--.d.D p.L ''eN ~ e- <br /> <br />rh , .I ,{JcL PIImiE <br />3.8 .80-d-. <br /> <br />"/2>'"J-- ;). 8' I 3> <br />.$' :e.h A ue <br /> <br />OWIiER'S ADDRESS <br /> <br />.- .' <br />-- < ''-> <br /> <br />I <br />.:. ".... j <br /> <br />JOB ADDRESS <br /> <br />3~ ht/o <br /> <br />b~ <br /> <br />Clu~ <br /> <br />d <br /> <br />LEGAL DESCRIPl'ION: UJI'(S) <br /> <br />Il10CX <br /> <br />SUBDIVISIOIl <br /> <br />PARCEL I. D. t <br /> <br />WORK PROPOSED:_Jlew Const:ruct:ion <br /> <br />~t:ion _Alteration _Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />\/ Single Faail}" <br /> <br />_"IF <br /> <br />_, of Unit:s <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust:. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &: nea1t:h ~t: Approval <br />; <br />BUILDING SIZE: .: --, A, I ' ,i. /I X;lt--/ / Square Feet:, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COttKERCIAL : <br /> <br />AtTACH (2) PUJI' PLAIIS &: (2) SEIS OF BUILDING PLAIlS &: (1) SET ENERGY FORKS. ** <br />ATrACB (3) SEI'S OF BUILD:urG PLUS &: (1) SET mmRGY FORMS. ** <br />**COPT OF CONTRACT REQtlJIRED. <br /> <br />PEmlITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />700 <br /> <br />Valuat:ion ()f Total Const:ruction <br /> <br />_ELECTRICAL <br /> <br />AIfP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECIIMlICAL <br /> <br />$ <br /> <br />Valuat:ion of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block. _Pralle _Steel 5c eet'/1 rrr;orYl Other <br /> <br />FINISHED FLOOR ELEVATIOBS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE' AREA? <br /> <br />/ <br /> <br />YES NO <br /> <br />******************~****~***************** <br /> <br />(DJI'I'RACI'OR SECTION <br /> <br />BUILDER <br /> <br />COl!tPMff L. B. IlYkt'rll <br />~ Stat:e Cert:. or Regist:. , R'I? <br />1( A e./l~ City License Regist:ration , <br />****************************************** <br /> <br />z iy.:;h ,:pe O/lIlt? wotek.> <br />001 ;)-3:5 5 <br />JT7 <br /> <br />Signat:ure <br /> <br />ELECTRICIAlf <br /> <br />COIIPARY <br />Stat:e Cert:. or Regist:. , <br />City License Regist:rat:ion I <br />****************************************** <br /> <br />SiplUllt:ure <br /> <br />PLOIBER <br /> <br />Signat:ure <br /> <br />COl!tPANY <br />Stat:e Cert:. or Regist:. , <br />City License Regist:rat:~on I <br />****************************************** <br /> <br />ItECllARICAL <br /> <br />Signat:ure <br /> <br />COl!tPARY <br />Stat:e Cert:. or Regist:. I <br />City License Registrat:ion I <br />****************************************** <br /> <br />O'T'IIF.R <br /> <br />Signature <br /> <br />COl!tPANY <br />St:at:e Cert:. or Regist:. , <br />City License Regist:ration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />".~'1 <br />/ ( dAU"AD <br /> <br />~ i <br />"> J ,L/)./i1.... r <br /> <br />PERKIT OFFICER. <br />