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<br />APl'LlCA'l'lON pon l'E1UI1'l' <br />CITY OP Z~llIlYIUn LI.S <br />UUILDING D~l'AHnIENT <br /> <br />Al'PI.1CANT <br /> <br />/feE. <br /> <br />/}LU N\ <br /> <br />ADDRESS 3~ S'VS- J//}LP'1 (;,(./)tJE .PI<, <br />OWNER RAY /J/lJtJIELS <br />JOB l.OCATION .3 ??.sfr S~tlrf/ ~L/E-, <br /> <br />PHONE <br /> <br />7?~~;l~/b <br /> <br />. <br /> <br />LOT SIZE 8'0. X /tU" AREA SQ. fT. -< ~ <br /> <br />U:Gi\{. DESf.RIPTlON: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />llARCEI. loD.lt 1'1- ;;26 ~.;;J-/- 00/ 0 - 0 D..3 ~ 0 - /JcJ/ 0 <br />WORK PROPOSED: ~w Construction ____Addition ____Alteration ____Repair <br /> <br />) <br /> <br />____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Nove <br /> <br />____Demolish <br /> <br />_M/F <br /> <br />____'~ of Units <br /> <br />,_tl/lI <br /> <br />_Commercial <br /> <br />_lndu6t. <br /> <br />____Swim, Pool <br /> <br />Othel' <br /> <br />_Restaurant & Health Department Approval <br /> <br />lIlHIJHNG SIZE; <br /> <br />,,---, <br /> <br />SqUQ tOe Fee t I <br /> <br />9/ <br /> <br />lIeight <br /> <br />~UILDING <br /> <br />ATTAml (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.AA <br />A1"fACIl (:j) SETS Of llUlLDlNG l'l.ANS & (1) St::'l' ENl::RGY l~ORl'lS," <br />.~COPY OF CONTRACT REQUIRED. <br /> <br />~ ~ PRRMITS RF.QllES'l:ED <br /> <br />$ Valuation of Total Construction <br /> <br />RESIDENTIAL; <br />COtltlERClAl. : <br /> <br />_ELECTRICAl. <br /> <br />ANP Service <br /> <br />Florida Power Corp. <br /> <br />._W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~PI.UHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />-J <br />TYPE Of CONSTRUCTION: _Block <br /> <br />_Frame ____Steel <br /> <br />Other' <br /> <br />fINISHED FLOOR ELEVATTONS; FT. <br /> <br />, , <br />...***.*..*.........,*.*.................* <br /> <br />Signature <br /> <br />/JCE /l LI/f /J1. <br />~ Jl-:- <br /> <br />CONTRACTOR SEC.T.lOH ~/ ~ <br />Company //~- <br />StBFe Cert. or Reglst, y <br />City License Registration <br />.**....*..*.........*..~.*.*..........~..* <br /> <br />4A t( 1'7 .' <br />CI!!CL/ ..:r'J't,RLJ <br />II /6CJ <br /> <br />.1lUlf.l)fR <br /> <br />~LECTRTCTAN <br /> <br />Company <br />State Cert. or Regist, y <br />City License Registration Y <br />**.~.~..........*..................*...**. <br /> <br />5igDf\ture <br /> <br />tlUHBER <br />~~~nature <br /> <br />Company <br />State Cert. 0' Regist, # <br />City License Registration # <br />,..........................,.............. <br /> <br />UEGllANICAT. <br /> <br />Company _ <br />Stale Cc~t. or ReGi~t. U <br />Cl ty License Bealstt'utiol\ /) <br />..**.........**...,.*.*....*.*.***..**.*.. <br /> <br />Signature <br />.. <br /> <br />, , <br /> <br />OIliER <br /> <br />Company <br />State Ce~t. or Regist. U <br />City License Registration n <br /> <br />Slgr1ature <br /> <br />MWOfIe ... .....1+fT AJt <br />.hfto.r~ to "11',' <br />~, .~' $f;~ .1lIIPW--')..... <br />t. .,' <br />t ,,'.. " ,~""", , <br /> <br />..YJ; I <br />~~,: i <br />.~ -J <br /> <br /> <br />PERMIT OFFICER. <br /> <br />APPpCATION APPROVED BY <br />