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<br />APPL:A.i.i:ATIOB FOR PERKIT <br />CIty OF ZEnlIKlII fILl,S <br />B1lJII.DDiG DEP.ARI'KEffl"" <br /> <br />OIlIIER'S IWIE poy?:> E. W/rm/3tJLL) -6:}) ?J\f- 93J.;t <br />OWNER'S ADDRESS 3cF7;?6-" (/{jAC;17zJ C/4-CL~ --CU ~~ljl AI/Is r-e 33~C/O <br />JOB ADDRESS !; /}-7v7L <br /> <br />LEGAL DESCRIPTION: UJI'(S) <br />PARCEL LD.' t>).. :;c.. <br /> <br />JD <br />. <br /> <br />-:)/ <br /> <br />BLOCK_LsUBDIVISIOlli VI LL46€ G~OtJc.- <br />CYO/t2 C>C>OOO 0100 <br /> <br />WRK PROPOSED:_llev Construction --...Addition _Alteration _Repair X-Install <br /> <br />S. <br />- 19D. <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_"IF <br /> <br />_, of Units <br /> <br />-,K"K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swa. Pool <br /> <br />Ot:her <br /> <br />_Restaurant &: Health Depart:aent Approval <br /> <br />BUILDING SIZE: :;; i X S;( <br /> <br />Square Feet, <br /> <br />Height <br /> <br />. RESIDENTIAL: <br />COttKERCIAL : <br /> <br />ATTACH (2) PLOl' PLMiS &: (2) SEI'S OF BUILDING PLANS &: (1) SEt' ENERGY FORKS.** <br />ATTACH (3) SEI'S OF B1llIJ)DiG PI.MS &: (1) SEt' mmRGY FORKS. ~~ <br />~*COPY OF COl!iTRACT REQtDIRED. <br /> <br />PERl!lITS REQUESTED <br /> <br />_BUILDING <br /> <br />:$ <br /> <br />Ji3f- 9.Q <br /> <br />Valuation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AIfP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Va1uation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />KOOFDlG <br /> <br />SPECIALTY <br />AI#- <br /> <br />Ot:her <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />_FraIIe ___Steel <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS P.RO.JE('T IN FLOOD zmm AREA? <br /> <br />YES NO <br /> <br />***~**********~*******~***~**~****~~~~**** <br /> <br />BUILDER <br /> <br />CIBII'nlACIOR SECTION <br /> <br />i\ n c/hYL CO!tPANY5/It1-JD~':::> )Bh.E.5'E;2iJLCE C'6/L ~ <br />~ State Cert:. or Regist:. , .5CC_ CJ C/C;D7L-. <br />City License Registration , <br />*******~***********************~********** <br /> <br />Signature <br /> <br />ELECTRICIAIf <br /> <br />CO!tPARY <br />State Cert:. or Regist:. , <br />City License Registrac~on f <br />_*_***_****>L .":**_********************** <br /> <br />SiPTlature <br /> <br />PLUtlBER <br /> <br />Signature <br /> <br />CO!tPBY <br />State Cert. or Regist. , <br />City License Registration I <br />*************.j,**_*ii:**.It**.....*****~**..."'.. ...:..."'''' <br /> <br />KEmARICAL <br /> <br />Signature <br /> <br />CO!IPANY <br />State CP-rt. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />CO!tPOY <br />State Cert:. or Regist:.I <br />City License Registration , <br />*********************~***...**************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />