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<br />APPLICATIOII FOR PHmtIT <br />CIty OF ZEl'UI'KH I U..s <br />BUII.DDIG DEPAImIfEln' <br /> <br />OWNER · S IiAKE <br /> <br />fI f1!< T;?PJ-l s: 1?{~/Y(1l1V <br /> <br />PHONE <br /> <br />71'2 - b f /6 <br /> <br />0WlIER' S ADDRESS <br /> <br />JOB ADDRFSS <br /> <br />l~;-I! G;9Li <br /> <br />$1 vP,- <br /> <br />LEGAL DFSCRIPl'ImJ: wr(S) <br /> <br />BtOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t <br />lIOn PROPOSED:_lIev Construction _Addition .-L.A.lteration \ _Repair _Install <br /> <br />PROPOSED USE: Single Faaily <br />Lec-ercia1 <br /> <br />.' _KIF <br /> <br />_, of Units. <br /> <br />6?-/f10 V~ <br /> <br />_K/H <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />_Indust. <br /> <br />_Sw:ia. Pool <br /> <br />Ot:her <br /> <br />_Restaurant &: Health ~t Approva1 <br /> <br />BUILDIKG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />. RESIDENTIAL: <br />cotttIERCIAL : <br /> <br />ATTACH (2) PLOI' PIAlIIS &: (2) SEIS OF BUllDDiG PUUiS &: (1) SET ENERGY FORKS. ** <br />ATI'AaI (3) SEI'S OF BUD.DIIIG PLMS &: (1) SET mmRGY FORKS.** <br />*'*COPY' OF CORTRAC'l :RIlQUIRIlD. <br /> <br />PEmIT1"S REQUESTED <br /> <br />_BUILDIIIG <br /> <br />$ <br /> <br />Va1uation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ttECHAlfiCAL <br /> <br />$ <br /> <br />Va1uation of Rtecbanica1 Inst:allation <br /> <br />_PLUKBIIIG CAS :ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIlSTRUCTION: _Block _Fra.e _Steel <br /> <br />Ot:her <br /> <br />FDlISHED FLOOR ELEVATIOIIS: <br /> <br />FI' . <br /> <br />IS PROJECT DI FLOOD ZONE AREA? <br /> <br />YES 110 <br /> <br />'*'*'**'**'*'*'*'*'*'*'*'**'*'*'**'*'*'*'*'*'***'*'**'*'*'*'*'*'*'*'*'*'**'* <br /> <br /> <br />cmrrKACI'OR SECTION <br /> <br />m!lPAn 1(2::::;1 d?S <br />State Cert. or Regist. I <br />City License Registration I <br />'*'*'*'*'**'**'*'*'*'*'*'*'**'**'****'*'**'*'*'*'**'*'*'*'*'** <br /> <br />~Ekcf <br /> <br />/;0) Ci' <br /> <br />~ <br />- :_~::~/~ ~ =:~eo~::~':~i:" f <br /> <br />,*A.AA...*,**,*,*,**,*,*,*~*,*,*,*,*,*,*,*,**,***,**,*,*,*,*,** <br /> <br />WIIlIIlI\ i lDII'AIIY C!l05 ~ -!ilj.f1b&6 <br />. C ~~ ~ ~ S~t:e ~rt:. or R~gist:. .' F 0 I l.J <br />S1gDat:ure - t'I'. Cd:Y L1cense Reg1strat1on .# S 7 <br />,*...,**,*_~*,*~'''::***'l!:~~~~~,*~~+''''++********'**'*** <br /> <br />KEalAllICAL " m!lPARY <br />State Cert:. or Regist. f. <br />Signature City License RegisLratio~ I <br />'*'*'*'*'*'*'***'****'**'*'**'**'*'**'*'***'*'*'*'********'**** <br /> <br />0'T1IRR m!lPMY <br />State Cert:. or Regist. t <br />Signature City License Registration , <br />'**'*'*'**'*'*'***'**'*'*'**'*'***'***'**'**'***'*'********** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />