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<br />APPLICA'l'lON l.'ul< PUUIl'l' <br />CITY OF ZIWlIYRlIlLl.S <br />BUILDING D~PAH1~ENr <br /> <br />APPLICANT /JCC /lLt1/J1. <br />AD()RESS .:]R'Stfr- j'IJ/fl1 tRtJtI.I! /).4.. <br />I-! "./<- /If/)lt) ,It~S" <br />fJ/1#~ <br /> <br />PHONE <br /> <br />7cf.J ....Jtlb <br /> <br />OHNER <br />JOB LocATlON-1K/P 7 <br /> <br />/)/< . <br />. <br /> <br />. <br /> <br />LOT S IZE-Sk..X. PI? AREA SQ. i"T . 7~? <br />, <br /> <br />LEG,^1. DESr.RIPTlON: LaT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />llARCEL 1.0 .It <br /> <br />/tf-:lf- /)/- ~tJ~tJ- ~"dloO-~tf)~CJ <br /> <br />HaRK pROPOSED:____New Construction ____Addition ____Alteration ____Repair ~nstall <br /> <br />____Sign/Temp. <br />l'R()l'OSEl> USE: VSingle Family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demol ish <br /> <br />_M/F <br /> <br />_II of Uni ts <br /> <br />,_tl/ll <br /> <br />____Commercial <br /> <br />____lnduGt. <br /> <br />_Swim. Pool <br /> <br />Othcr <br /> <br />_Restaurant & lIealth Department Approval <br /> <br />mHLDING SIZE; //1 ~. <br /> <br />;2t?D <br /> <br />Sq\lal'e Feet, <br /> <br />J>'7t?~;' <br /> <br />Height <br /> <br />Rt::SIDENTlAL: ATTACH (2) llLO'f PLANS & (2) SETS OF BUILDING l'LANS & (1) SET ENERGY i"OHHS, Ai <br />CUmtEHCIAl.; A'l"fACtl ()) SETS Of' BUII.DING l'l.ANS Ii (1) S1::T ENI::HGY FOHNS. *. <br />*toCOPY OF CONTHACT REQUIRE[). <br /> <br />~UILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />0'~t:J, & p <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />._H,R.E,C, <br /> <br />__MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOnNG <br /> <br />SPECIALTY <br /> <br />.J <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame ____Steel <br /> <br />.19~ d flI . <br /> <br />Other' <br /> <br />n Nl SilEO FLOOR El.F.VATTONS: FT. <br /> <br />. , <br />.......................*.**.......*....... <br /> <br />Signature <br /> <br />,'L' A CONTRACTOR SEC'llON /U-r- ~"/fII <br />~ Co",,,ony ffl--~ fl' . <br />~. .. Stafe Cert. or Regist. U CeCP~if~rO <br />- - - City License Registration II //-t!) <br />.......~.............*.~.....*.*......***. <br /> <br />.\IUlLUfR <br /> <br />Jl.LeGTRTCTAN <br /> <br />Company <br />State Cere. 'or Regist. # <br />City License Registration U <br />*to......**.*.*...*.*.****........*.*.*.... <br /> <br />Signatllre <br /> <br />l'LIlNBER <br />~~~nature <br /> <br />Company <br />State Cert. o' Regist. # <br />City License ReBhtration II <br />*.....*.......*,***........*..........*... <br /> <br />m:CIIANl CA l. <br /> <br />Company <br />Stale Ce~[. or Re~l~t. # <br />Ci ty License HCBlstnltlol\ II <br />*..*....*.*.......................,....,.* <br /> <br />Signature <br /> <br />OTllER <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration # <br /> <br />Signature <br /> <br />*.*..**..****..***.*......*.****.******... <br /> <br />AP1JI.ICATlON APPROVED BY <br /> <br />fERHlT OFFICER, <br /> <br />" <br /> <br />, , <br />.......\l!l.Jl~'.. <br /> <br />~! <br />):,,' ~ ~"~rk.'J;} f' <br />. ~ j." ~JII-e.....-;~~ <br /> <br />i <br />{, <br />......., .~ <br /> <br /> <br />',;:,,'1"A.,'i <br /> <br />-.1,i <br /> <br />~~ <br />