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<br />AP:PLYWj.l'LOll FOR :,,-'~T <br />CI'IY OF ZIn"III.IW..il.LS <br />BUTI.DDiG DEPAKiIIEM'T <br /> <br />_'8_ ':1).. ~ i:OAES . . ~~~~ry3-41~\ <br />,OWER'S ADDRESS ~ 0 ~ _ ___ 1 . BetJ\O{0 Vl J-,. ~ C ,_J;., ~ 7' b - () 6 17:J.- <br />JOB ADDRESS l-Jq- f), ') G fI)..,h e,t..V I) - '2C'{'hYRW~S <br /> <br />LEGAL DESCRIPl'ImJ: UJI'(S) <br /> <br />BI..OCX <br /> <br />SUBDIVISIOlli <br /> <br />PARCEL I. D.# <br /> <br />IiORK PROPOSED:_lIew Construction --i\ddition _Alteration _Repair. _Install <br /> <br />..x:-siw. <br /> <br />_!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br />---,X.ec-erCial <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_Indust. <br /> <br />_Swt.. Pool <br /> <br />Ot:her <br /> <br />_R.esUUran.t &: Bea1t:b. ~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COItItERCIAL : <br /> <br />A'ITAGlI (2) PLOI' P.I..AliS &: (2) SEI'S OF BUII.DDlG PLUlS &: (1) SEt' ENERGY FORKS. ** <br />A1TAaI (3) SErS OF BUII.DDiG PI.MS &: (1) SET El!mRGY FORKS. ** <br />**mpy OF mMrRACT RIlQlBIRED. <br /> <br />}'ERIPITTS REOUESTIID <br /> <br />_BUILDING <br /> <br />$ <br /> <br />_Valuation of Tot:a1 Construction <br /> <br />F.T.F.CTRICAL <br /> <br />. CZO AID' Service <br /> <br />_ .:Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAlfICAL <br /> <br />$ <br /> <br />_Valuation of J!fecbanica1 Installation <br />...."""".,...,.-. - ~PECIAL' . TY <br />.IlJUUI .LJl'lI'" "" <br /> <br />_PLUKBING <br /> <br />__~M: <br /> <br />TYPE OF m:NSTR.UCTIOR: _Block <br /> <br />__Fra.e _Ste~l <br /> <br />t/ <br /> <br />Ot:her <br /> <br />~ attacU <br />--.L/ <br /> <br />FIlIISHED FLOOR ELEVATIONS: FI' . <br /> <br />IS PROJECT Di FLOOD ZORE AREA? <br /> <br />YES NO <br /> <br />.**..**.**************.****....**.******** <br /> <br />CDlM'I'RACIOR :IECI'ION <br /> <br />Signature <br /> <br />CO!IPOY <br />State Cert. or Regist. t <br />City License Registration ,I <br />*****6*********~************************** <br /> <br />BITTT .DO <br /> <br />=12~ IDJJPABYJ.fJe/b.~JJtAti St.~~ <br />.' te c:erL or R<<:gist. .' . DO I o...:~ <br />S IPII L1cense Reg1strat1on # <br />- ..............~........__*-u.__ <br /> <br />CO!IPARY <br />State Cert. or Regist. f: <br />City License Registration # <br />***'.iI:..*wf'ir**....._.-a-.i''*:*..'iri~.. .~~""....a..ktoZ; -oil i&....--ttt..'ir~1i:~ii'-... <br /> <br />PL1IIBER <br /> <br />Signature <br /> <br />Signature <br /> <br />COlfPAIMY_ <br />State Cert. or Regist. # <br />City License Registration # <br />.*****************************..**.******* <br /> <br />IUtalAllICAL <br /> <br />IYIIIRII _ ~=~i.JRYJlJelhoul!.neS:;'6,J a __ <br /> <br />. . . te Cert. or Regist. # C1D()() 0 J05. - f?;< ~0555 6.3 <br />Signature '. _ ity :: _ense Registration f <br />**********<J.-:.I:*-e,....~*....***..... .t*....-I, .1-*....*.***.****** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKlT OFFICER. <br />