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<br />APPLICATIOl!ll FUR r'~T <br />CIft OF ZEl"JiJ'JCH ...J.S <br />BUIUUJiG DEPARIKI!XI' <br /> <br />OWNER'S IWIE /J1. i /J R i tJ <br />OWNER'S ADDRESS ,? '7 20 z <br />Sit IY7 ~ <br /> <br />f? A/YI S .!. 7 <br />II i ')A r..s <br /> <br />moB 78 2... - 0 3 ~ 51 <br /> <br />~A. <br /> <br />"7 L#J A'." A,' //0$ <br />r / <br /> <br />rL , <br /> <br />33fY~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'ION: I..OI'(5) <br /> <br />B.I.OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t <br />WORK PROPOSED:_Nev Construction ~tion __Alteration _Repair. -LInstall <br /> <br />S. <br />- 19D. <br /> <br />]!love <br /> <br />_ne.olish <br /> <br />PROPOSED USE: <br /> <br />Single Fallily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Sw:Ui. Pool <br /> <br />Other <br /> <br />_Rest:aorant & nea1th ~t Approva1 <br /> <br />BUILDIBG SIZE: <br /> <br />x <br /> <br />~e Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COItttKRCIAL : <br /> <br />A1TAW (2) PL.OI' PLUS & (2) SETS OF BUI.LDlliG PLUS & (1) SEl' ENERGY FORMS. ** <br />ATI'AW (3) SETS OF BUI.LDDIG PlANS & (1) SEl' ElMHRGY FORKS.** <br />**COPY OF COtrrRACT KIlQlIlIRIlD. <br /> <br />PIlRIPIYTS REOOESTIID <br /> <br />~UI.LDIBG <br /> <br />~CAL <br /> <br />LJmawuCAL <br /> <br />$ <br /> <br />va1uation of Tota1 Construction <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />_Va1vat:iOll off Mechanical. Insf'.allat:ion <br /> <br />_PL1JKBIBG GAS ROOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF COHSTRUCTI01'i: _Block _~ _Steel <br /> <br />Ot:her <br /> <br />FIIIISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PBOJECT lli FLOOD ZONE AREA? <br /> <br />YES HO <br /> <br />************~************************** <br /> <br />QJlII'KACI'OR SECTION <br /> <br />CO!IPAIIY <br />St:ate Cert. or Regist. , <br />City License Registration , <br />*****6************************************ <br /> <br />RMT.DF.R <br /> <br />Signature <br /> <br />SiPnature <br /> <br />CO!IPAJJ!IY <br />St:ate Cert. or Regist. I <br />City License Registration t <br />****************************************** <br /> <br />ELECTRICIAH <br /> <br />CO!IPARY <br />St:ate Cert. or Regist. I <br />Ci~ License Reeis~r.atioo t <br />****************************************** <br /> <br />PLOttBER <br /> <br />Signature <br /> <br />Signature <br /> <br />~/d/- <br />/' <br /> <br />amPMY 11;v # -< ~ ~.e" ,# ~ ^" L c; 19..s L- 14/c <br />St:ate Cert. or Regist: t C.AC.o "J? '-/ ~ <br />City License Registration f 76' <br />****************************************** <br /> <br />.r r-J c. <br /> <br />KECllAlffCAL <br /> <br />. <br /> <br />CO!IPABY <br />5t:ate Cert. or Regist. f <br />City License Registration I <br />****************************************** <br /> <br />0'T1IF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />