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<br />APPLICATION FOR PHRHIT <br />CI'IY OF ZEJ.IIffRIIILLS <br />BUII.DTIiG DEPARIlIfHMT <br /> <br />OWNER'S IWtE !AJtlLES:LP( }afRPf'M8J\ ccep PHOR~~.b9~D90/ <br />OWNER'S ADDRESS ..?-~'?O ~~7/h..c R...CJ ?;;;/i;. ~t'?~ /~~A73:~ .c7 7~6..:y::> <br />JOB ADDRESS ~5'/~ - _"'J:~-'7<'o 61//" g/t/d? ~/-?f-r./t'I'I'<:; r J::? 3;!1J5-3' <br /> <br />LEGAL DESCRIPTION: L.OT(S) <br /> <br />RI..OCK <br /> <br />SUJBDIVISIOlNl <br /> <br />PARCEL IoD.f---1I~-2..lo-~\ - 00 tt) -01::)700-- 0;.<;0 <br /> <br />WRK PROPOSED:_lSlev Construction _Addition _Alteration _Rep.~ir _Install <br />~Sign _!!love _Deaoli.sh <br /> <br />PROPOSED USE: Single Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />MIH <br />IQ1 o().,,~ - <br />a fR~~-A~8i~Gr-- <br />b(~tU <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swi.-. Pool <br /> <br />_Restaurant &: Health Depart:aent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COftKERCIAL : <br /> <br />AtTACH (2) PL.OI' PLMS &: (2) SEI'S OF BUII.DIMG PLAlNlS &: (1) SEI' E'BERGY FORMS. ** <br />ATTACH (3) SEI'S OF BUIl.DIlNlG PLAlNlS &: (1) SET ENERGY FORKS. ** <br />**COPY OF CONTRACT RIlX!m:RIJD. <br /> <br />PERKITS REQUESTED <br /> <br />X-BUILDING <br />~ELECTRICAL <br />_MECHANICAL <br /> <br />$Lfg(&.~c.f <br /> <br />Valuation of Tot:al Construction <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOlNl: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FTIiISHED FLOOR ELEVATIOIiIS: <br /> <br />FI' . <br /> <br />IS PROJECT IN F'LOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CORI'RACTOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />mMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />ELECTRI~ <br />, <br /> <br />SiPrlat:ure <br /> <br />CO!IPMfY <br />State Cert:. or Regist:. , <br />City License Registration I <br />****************************************** <br /> <br />P!-."!fBER <br /> <br />~A..~ <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />flEmAl[[CAL <br /> <br />mMPMiY <br />State Cert. or Regist. 4# <br />City License Registration I <br />****************************************** <br /> <br />Signat:ure <br /> <br />-~;t_~ <br /> <br />O11IERl <br /> <br />Signature <br /> <br />mMPMIY <br />State Cert. or Regist:. I <br />City License Registration , <br />...........a...~.....**......**..******** <br /> <br />APPLICATION APPROVED BY <br /> <br />7! a-.uo 1 ~ ,:>/1 "4/'- r <br /> <br />PERKIT OFFICER. <br />