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<br />APP1..:J.CA'ITO:j FOR !'P..:RKIT <br />CIft (;JiI' ZEPIIl'RIIILLS <br />BUII:;YJ<<; DEPARJMF..Nf <br /> <br />OWER'S RAKE 111[/1. )~---- <br />OWER'S AnDRESS jg d' '7 II t::b C;~.'-_ ._- <br /> <br />PHONE <br /> <br />789- 7/t'JR <br /> <br />JOB ADmlESS_ <br /> <br />:r" A /YVI J2. <br /> <br />LEGAJ~ DESCRIP'l'Imi: wr(::;; <br /> <br />~smmIVISION <br /> <br />'PARCEL LD.t II--::Lb - ,:J- J <br /> <br />00 I ('/ ~ C "? (,~ C. 0 ~o () ~~ 0 <br /> <br />WRIt PROPOSED:_lIlew Construction .---.Addition ~A1teration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: <br /> <br />v"'Single Faaily <br /> <br />_KIF <br /> <br />.__' of Units <br /> <br />_KID <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Rest:aurant 5: Hea1t:h >>epar-.ent Approva1 <br />,10 F X /.'r//. <br />BUILDING SIZE: . ~':L <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOJ' PUUIIS 5: (2) SEIS OF BmLDH'G PLANS 5: (1) SEt' RNERGY FORKS. ** <br />ATI'ACB (3) SETS OF BUII.DIHG PI..DS &: 0) SET ENERGY FORMS. ** <br />**COPY OF COMrKACT RIlX!m:KED. <br /> <br />PERKlT~ REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />;;J933 <br /> <br />Va1uation of t'ot:al Construction <br /> <br />_ELECTRICAL <br /> <br />MIP Seryice <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />_Va1uation of Kecbanica1 Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />BOOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Pralle _Stee1 (l1l,1-v1 /~'1Nh/\. <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FI' . <br /> <br />IS PRO.JECY IN FLooD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COtn'RACIOR ShCI'IOM <br /> <br />Signature <br /> <br />/-(ei1/YljJ~ <br /> <br />COIfPANY L-, I? 141 cA> eLl <br />St:ate Cert. or Regist.' R 13 <br />J2~ City License Registration , <br />****************************************** <br /> <br />t~J-~ <br /> <br />RmTJ)ER <br /> <br />:::~ ' <br />i ure;?i) dJ;A-f) <br /> <br />~~ C~..", <br />COIfPARY --/ (~/ ~ A-.b <br />Z( 1 ~ Stab> eei't. or Regist. I e /fJ 0';>" ?' '" ~" <br />~ City License Registration t ...)-,2:;' ". <br />***** *********************************** <br /> <br />COIfPABY <br />St:ate ,Cert. or Regist. , <br />Ci.ty Licpnce Registration I __..._._ <br />************************-***************** <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />KECIIAlfICAL COIfPARY <br />St:ate Cert. or Regist. ,I <br />Signature City License Registration , <br />**********************~******************* <br /> <br />OTHER COIfPANY <br />St:ate Cert. or Regist:. I <br />Signature City J.icense Registration I <br />..********~~~***************** <br /> <br />APPLICATION APPROVIJ'D BY PERKIT OFFICER. <br /> <br />