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<br />APPLICATION FOR PERHIT <br />GI'IY OF ZIlP.BYIMILLS <br />BUILDDIG DEPAR'DUJ'Jn' <br /> <br />vOWER' S lWtE ~\ " .~ () <\ '-( <br />0WIiER' S ADDRESS 3> ~ ~ y \ <br /> <br />W"'" \ ., () <br />~ \'1 t:9 <br /> <br />PHONE <br /> <br />(e3 - Il~(o <br /> <br />AJe. <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'ION: UJI'(S) BLOCK: SUBDIVISION <br />PARCEL LD.' V// 1\ -;).(0 -:J) - ()Dlb....l q7(f), () rDO <br /> <br />WORK PROPOSED:_5ew Construction _Addition _Alteration_Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PRaPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_' of lIInits <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swi.-. Pool <br /> <br />ather <br /> <br />_Restaurant &: Bea1t:h. Depar-=-ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />eotmERCIAL : <br /> <br />ATTACH (2) PLOI' PI..UlS &: (2) SEI'S OF BunnING PLUS &: (1) SET ENERGY FORKS. ** <br />ATI'ACH (3) SEI'S aF BUILDDJG PI..UlS 5: (1) SET EHERGY FORKS. u <br />....COpy OF COWI'RAcr RlrQm:.RED. <br /> <br />PERKITS REOl1IHSTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation or Total Const:ruction <br /> <br />_ELECTRICAL <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUKBING GAS ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE aF CONSTRUCTIaN!: _Block _FraJ.e _Steel <br /> <br />ather <br /> <br />FINISHED FLOOR ELEVATIaNS: <br /> <br />FI' . <br /> <br />IS PROJECT Dl FLOOD ZONE AREA? <br /> <br />YES NO. <br /> <br />........~......**..********..***....**........**..........*.... <br /> <br />cmIrI'RACIOR SECI'IaN <br /> <br />BITTTJ)ER CO!IPMY <br />State Cert. or Regist. t <br />Signature City Licen~e Registration , <br />....*........**..*******..**............*~*........*....****** <br /> <br />ELECTRICIAN CO!IPANY <br />State Cert. or Regist:. , <br />Signature City License Registration I <br />..*****..**..****************..***..*****........** <br /> <br />PIHIBER CO!IPMiY <br />State Cert. or Regist:. 't <br />Signature City License Registration I <br />*******..***********..*****..*....*..**........****.. <br /> <br />KECllANICAL CO!IPANY <br />State Cert. or Regist.. I <br />Signature City License Registration , <br />*..*..***..**************..**~******....******.... <br /> <br />rlT1I'RR CO!IPANY <br />State Cert. or Regist. 41 <br />Signature City License Registration I <br />****..****~**~***********..~**************.. <br /> <br />APPLICAnaN APPRaVED BY PERKIT aFFICER. <br />