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<br />APPLICA"..n05 FOR :i'iOOIIT <br />CI'IY OF ZIlPIIYRIiILLS <br />B1J.IIJ)IJIiG DEPAB:1rTiIE5T <br /> <br />OWNER'S RAKE C LI FF <br />OWNER' S ADDRESS i). o. <br />, <br /> <br />PH05E C}tl if -5 b '7 - 3'100 <br />/JIMC C4TY i FL 3352&- oLf97 <br />33S'fo <br /> <br />PARCEL I. D.' <br /> <br /> <br /> <br />_Repair. _Inst:all <br /> <br />liOn PROPOSED:_lNIew Construction -i\ddition <br /> <br />_Sign <br /> <br />_Move <br /> <br />_ne.olish <br /> <br />PROPOSED USE: <br /> <br />_~e Faaily <br />Xec-erCia1 <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_Indost. <br /> <br />_Sw:t.. Poo1 <br /> <br />Other <br /> <br />_Restaurant & Bea1th Depart:aent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet, <br /> <br />Height <br /> <br />RP3ID~ <br />~CIAL . <br /> <br />A1TAaI (2) PL01' PLOIS & (2) SEI'S OF BUD.DDiG PI.A5S & (I) SET ENERGY FORMS. ** <br />ATrAaI (3) SEI'S OF BUD.DDiIG PLOIS & (I) SET ENERGY FORKS.** <br />**COPY OF C05TRAGr ~m::ImD. <br /> <br /> <br />Pir.RIPIT':i'S REQUESTED <br /> <br />IliG <br /> <br />$ <br /> <br />Va1uation of Total Construction <br /> <br />AKP Service <br /> <br />__._F1orida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br />_+G <br /> <br />$ <br /> <br />Vuuation of 6ecbanica1 Installation <br /> <br />GAS <br /> <br />ROOFDIG <br /> <br />S.-ECIALTY <br /> <br />TYPE OF COBSTRUCTIOIli: _B1ock __Fraae _Stee1 <br /> <br />Other <br /> <br />FIIIISBED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS P.RO.JEGr Df FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />******************~********************** <br /> <br />COJlU'RACIOR SEenON <br /> <br />RmUlF.R A 7 <br /> <br />Signature V~~, &~ <br /> <br />CO!IPDY CoAlr6rrl PI ~f' OOAJ11lt1C:fJAlG 1/ MtI <br />State Cert. or Regist.' CGC.()'f16// <br />City License Registration' 2 !!; J <br />****************************************** <br /> <br />.z;N''C <br /> <br />ELECTRICIAli <br />SiPl1#llture fJ J~ <br /> <br />OOlIPAlMY Fr~ c.~;7(IC <br />'1 J ~ State Cert. or Regist... ' t::: It ~ D Ci '/.,( '10 <br />.t-..-L- City License Registration f .Y d b IS, <br />** *********************************** <br /> <br />2L ampARY <br />St:ate Cert. or Regist. I <br />City License Registration # <br />~ ****************************************** <br /> <br /> <br />k aBPMY <br />State- Cert. or Regist. I <br />. City License Registration t <br />/ **********~;;.************************** <br /> <br /> <br />X aMPARY <br />St:ate Cert. or Regist. I <br />City License Registration .. <br />< ****************************************** <br /> <br />PUllBER <br /> <br />Signature <br /> <br />KEalABICAL <br /> <br />Signature <br /> <br />OT'IIRR <br /> <br />. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />