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<br />APPLICATIOll FOR :~T <br />CITY OF ZIl:P.U.IKH "_T.oS <br />BUIUUIIG DEPAKnIEI/n' <br /> <br />OWNER'S JWIE ~e_~~ + D \ 0S\f\D.. CoU \ ns PIIOB <br />OWlIER'S ADDRESS Lo33D \-\l~~n "Dr, \Ie <br />JOB ADDRESS u6?;r') \-\u...(\+.\{\~n.:1) \\ ve <br />.LEGAL DESCRIPl'IOIII: I..OI'(S) Qlt- BI..OCK___SUBDIVISION <br /> <br />us <br />q~3 ~c,'3 ~ I <br /> <br /> <br />PARCEL 1. D. f <br />liOn PROPOSED:~lIev Construction ~tion _Alteration _Repair. _Install <br /> <br />_Sign <br /> <br />__!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />X Si.ng1e Faaily <br />I <br /> <br />_KIF <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_, of Units <br />-X:._Swia. Pool <br /> <br />_K/B <br /> <br />Other <br /> <br />_Restaurant &: Hea11:h Depa.r1:JEnt Approval <br /> <br />BUILDIIiG SIZE: <br /> <br />x <br /> <br />"Jiqlllare Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />. COIttIERCIAL : <br /> <br />ATTACH (2) PLOI' PI.ABS &: (2) SEI'S OF BUII.DDiG PLARS &: (l) SET EliERGY FORKS."'''' <br />ATTACH (3) SETS OF BUII.DDiG PLMiS &: (1) SET ENERGY FORKS."'''' <br />"''''COPY OF COlfl"RACT RllQm:RED. <br /> <br />PERIPIT'1'S REQUESTED <br /> <br />_BUILDIIiG <br /> <br />$ <br /> <br />( O. <if";;J. o. 0 D 'waluation or Total Construction <br />I <br /> <br />_ELECTRICAL <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ttEaIAIiICAL <br /> <br />$ <br /> <br />__Valuati<Y r-...f li'lecbaaica1 Installation <br /> <br />r,,,...--.J;,;:J,}.-,:~'b"''';'\~ <br /> <br />_PLUKBIIiG GAS _._.K03l'.)JtK; <br /> <br />SPECIALTY <br /> <br />TYPE OF COIiSTRUCTION: _Block _Fraae _S":eel <br /> <br />Other <br /> <br />FDIlSHED FLOOR ELEVATIOIiS: <br /> <br />FT. <br /> <br />IS P.RO.ritCT IN FLOOD ZONE I AREA? <br /> <br />YES HO <br /> <br />*********************~~~****************...* <br /> <br />f RUTT .DF.R <br /> <br />Signature <br /> <br /> <br />~~ ~ <br />=.:w:: or Regisr. ~~;;;;g J I <br /> <br />PitS City Li~ense Registration I <br />...............***..........*' .:it,;, . ,,,*************** <br /> <br />~ <br /> <br />CD!IPA~Y 6tCfc.o.) E1:!~+n~.ai.7 [1/["-.<;; o..:L.J1 L <br />State Cert:. or Regist. I t::::L.'Q~~.~05 <br />City Liceqse Registration fl. <br />***........*v..........*..........********* * ***** <br /> <br /> <br />~PIDlBER <br /> <br />Sigoat:w:e <br /> <br />CIJItP. <br />D:J. State . or Regist. I <br />D'ST(~<! -livE- rt'~0 S!l1J.. City I.icense Registration f <br />******** .......*****..........******************~** <br /> <br />CD!IPAIIY <br />State Cert. or Regist. f <br />City License Registration I <br />**********.................******~******************* <br /> <br />tmaIAIiICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />CO!IPANY <br />Stat. CerL or Regist. t. <br />Cit:y LictilSe Registration i <br />*******...*,1"-"'..... ~,,,*-*****.***.************** <br /> <br />. <br /> <br />0'I1IF.R <br /> <br />AP~ICA.TION APPROVED BY <br /> <br />1':z.RKIT OFY!CER. <br />