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<br />APPLICATIOIl FUR PERHIT <br />CI'IY OF Z.El'IUKH II.T.S <br />BUlLDIliG DEPAKnIRNT <br /> <br />OWHER'S RAKE <br /> <br />~tl, E, NEL <br /> <br />OWHER'S ADDRESS b-J d~ <br /> <br />~tJ AI <br />!5 e L- T I~ Jtfr1 J)/l. <br />JOB ADDRESS .5;4 /V; e .4 s 4- Ii? t:) 1/ 12, <br />LEGAL DESCRIPl'I01II: LOT(S) II ~SUBDIVISIOR <br /> <br />"7 c..) r <br />PIIOe '" 6 - L/ ,;' <br />2- e P f-'/;" .~.L: /!..- LI ,t'" L <br />. <br /> <br />..,/ <br />/" \.it <br /> <br />J J J-"'" 0 <br /> <br />,2- <br /> <br />HIS <br /> <br />PARCEL I. D.' <br />WORK PROPOSED:_lIew Construction ~tion _Alteration _Repair, _Install <br /> <br />S' <br />__ 19J1 <br /> <br />_Mo\Je <br /> <br />_ne.tolish <br /> <br />PROPOSED USE: <br /> <br />./ Single Faaily <br /> <br />_tf/F <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Depar1:aeIlt Approval <br /> <br />BUILDnG SIZE: 1:< <br /> <br />x/t.J <br /> <br />/7b I <br /> <br />Square Feet, <br /> <br />9'1 )/ <br /> <br />Height <br /> <br />RESIDENTIAL : <br />, cottKERCIAL : <br /> <br />ATTACH (2) PL01' PI.AliS &: (2) SEI'S OF BUlLDDiG PLAJ!iS &: (1) SET ENERGY FORKS. ** <br />ATTACH (3) SEI'S OF BUllDDG PIAIlS &: (1) SET DRRGY FORKS. ** <br />**COPY OF COIilTRACT REQUIRED. <br /> <br />PI!:ImITS REQUESTED <br /> <br />~BUILDIlIG <br /> <br />$ <br /> <br />J. fc, f/O ,O-V <br /> <br />/ <br /> <br />Va1uation of Total. Construction <br /> <br />_ELECTRICAL <br /> <br />AKP service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br /> <br />$ <br /> <br />"alaai:ion ~.t ~eehani(,,:::Il Installation <br /> <br />_PLUKBIBG GAS HOOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COllSTRUCTIOI!i: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIIIISIIED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT Df FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*********k******************************** <br /> <br />COII'I'RACIOR SECTION <br /> <br />Signature <br /> <br />)f;, [- <br /> <br />CO!IPAiM:l <br />~ ____ State eer<. or Regis<- ' t, <br />, ~ City License Registration , <br />*****..****.............***************************' <br /> <br />RmT .DF.R <br /> <br />Sipiili#crore <br /> <br />CO!IPAft' <br />State Cert. or Regist. I <br />City License Registration , <br />********~***.............************************* . <br /> <br />KI.F..cTRICI.AlI <br /> <br />CO!IPMY <br />State Cert. or Regist. t <br />City License Registration' <br />****************************************** <br /> <br />PLDIBER <br /> <br />Signature <br /> <br />~~lWIY._" <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />MEalARICAL <br /> <br />Signature <br /> <br />. <br /> <br />CO!IPARY <br />State Cert. or Regist. 'f <br />City License Registration , <br />**********..**********~******************* <br /> <br />BY ~ M "'~ _.$-" A.:ffi-J- <br /> <br />0T'IfF.R <br /> <br />Signature <br /> <br />APPLICATIOll APPROVED <br /> <br />PERKIT OFFICER. <br />