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<br />APPLICATIOIi :roIl PERltIT <br />CI'IY OF ZIl:1'uIKH II..'.~ <br />BUlLDDiC DEPA:RI1tENT <br /> <br />OWNER' S RAttE a j-J D <br />. OWNER' S ADDRESS g I '1 <br />JOB ADDRESS I, Lf l.{ L/ <br /> <br />fS'j <br />'/)n" <br /> <br />PHONE <br />/11.:; c; ~ <br /> <br />7~ - \ <br />_- I-Llf/~ <br /> <br />BI.OCK <br /> <br />SUBDIVISIOR <br /> <br />PARCEL I. D. t <br /> <br />6 -~ <br /> <br />:2.6 cJ. ( <br /> <br />0/) 6 <br /> <br />nGooO <br /> <br />JG/6 <br /> <br />WORK PROPOSED:_!lew Construction _Addition _Alt.eration _Repair _Inst.all <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: <br /> <br />Sing1e Faai1y <br /> <br />_H/F <br /> <br />_' of lJInits <br />-4-swt.. Poo1 <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />Other <br /> <br />_Restaurant & Hea1th >>epan:.ent Approva1 <br /> <br />Square Feet.. <br /> <br />Height. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />RESIDENTIAL: <br />COttKERCIAL : <br /> <br />A1TACII (2) PI..Or PLMllS & (2) SEI'S OF BUILDIBG PI.AIIS & 0) SET ENERGY FORKS. ** <br />ATI'ACII (3) SILTS OF RUILDDIG PLMS & 0) SET ENERGY FORKS.-A-* <br />-A--A-COPY OF CONTRAct REQm:RED. <br /> <br />~UILDING <br /> <br />PIlmIITS REQUESTED <br /> <br />c:...0 <br />$ d6C56 <br /> <br />Va1uation of Tot:a1 Construct.ion <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />_F1orida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlUCAL <br /> <br />$ <br /> <br />7a1uation of Kecbanica1 Installation <br /> <br />_PLmtBllIG GAS ROOFIWG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOR: _B1ock _Fraae __Stee1 <br /> <br />Other <br /> <br />FTIlISHED FLOOR ELEVATIORS: <br /> <br />FT' . <br /> <br />IS PROJEct IN FLOOD ZOIiE AREA? <br /> <br />YES NO <br /> <br />*-A--A-*-A--A--A--A-~*-A--A--A--A--A--A-..*-A-.*-A-.-A--A--A--A--A--A--A--A--A--A--A-*-A-**-A--A--A- <br /> <br />BIJTIJ)ER <br /> <br /> <br />COJIIfl'I'RACIOR SECTION /J <br /> <br />OOlIPANY N Iv:'" \ ~ ~1'-~ r::J),--~ ' <br />, State Cert. or Regist.. I C. (X. ~'.J. t;- ':,~ I( 1--" <br />\-^_A../' City License Registration " 6Z 0 <br />-A--A--A-..-A--A-*.~-A--A-""""-A-""""""-A--A--A--A--A-""-A--A--A--A-*-A--A--A--A--A--A--A--A--A--A--A--A-""-A- <br /> <br />Signature <br /> <br />OOlIPAn <br />State Cert.. or Regist. , <br />City License Registrat.ion' (,'1 <br />-A--A--A-**-A--A--A-.................................-I:-A-..-A-............-A--A--A-....-A--A-....-A-................. <br /> <br />Signature <br /> <br />aJ!IPARY <br />State Cert. or Regist. I <br />City License Regi.stration , <br />-A-**.........***........***.*-A-*-A--I:-A-*****-A-........-A--A-*-A--A--A-**-A-*-A--A-* <br /> <br />Pl.DlBER <br /> <br />KEClWUCAL <br /> <br />Signature <br /> <br />CO!IPARY <br />State Cert. or Regist. , <br />City License Regist.ration f <br />-A-*-A-**-A-....-I:-A-**-I:-A--A--I:-A--A-**-A-****-A--A-***-A--A-....-A-***-A-*-A-*-A-* <br /> <br /> <br />OOlIPABY <br />State Cert. or Regist. I <br />City License Regist:.n'ttion <br />-A-******-I:-A-**-I:-A-***-A-*-A--A--A--A-**-A--A--A-**-A--A-**-A--A--A--A- <br /> <br />. <br /> <br />77 o....z,. ~ r2^~ <br /> <br />de] l~ g'J 4 <br />, <br />Lt4 6/<;'3{ <br />PERKIT OFFICER. <br />