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<br />APPI,I.:ilTI05 FOR PHRKIT <br />CUT OF ZEPllYRllILLS <br />BUIl.DUiG DEPARnIE'ln' <br /> <br />~. <br />//# ~;/- <br />Jd~ xI~ <br />LEGAL DESCRIPTION: L01'(S) ) <1 + c2 V BI.OClC::s'f" SUBDIVISION <br />PARCEL LD.t /1- db -d.-I- 00/7) - {) 3 :?f)D -- /9 f) <br />WORK PROPOSED:_IJev Construction _Addition ---x'Alteration <br /> <br />_'S _L/ / <br />.r- oZ ~ <br />OWRER t S ADDRESS ~ ~ J 5 <br />JOB ADDRESS 5'.? jig <br /> <br />PIIORE <br /> <br />7Fo~,3 7~7 <br /> <br />~<T 7 ~~ <br /> <br />LRepair _Install <br /> <br />S. <br />-1gD <br /> <br />_ftove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: 'j Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/B <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swm. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />930 <br /> <br />~e Feet. <br /> <br />Beight <br /> <br />RESIDElfTIAL: <br />COItItERCIAL : <br /> <br />'\ <br />AtTACH (2) PI.OI' PIAlIS &: (2) SEIS OF BUll.DDIG PL..US &: (1) SET ENERGY FORKS. ** <br />ATI'ACH (3) SEIS OF BUll.DIIIG PLUS &: (1) SET ENERGY FoRKS. ** <br />**COPr OF CORTRAct :RIlQ1IITIUlD. <br /> <br />PIlRIPITTS REOOESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />_ELEC'l'RICAL <br /> <br />AIIP Service <br /> <br />Valuation of Total Construction <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllAlUCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />BOOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~Fraae _Steel <br /> <br />Other <br /> <br />FIliISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PRO.JEC'I' IN FLOOD ZONE AREA? X <br />YES NO <br /> <br />******************~********************** <br /> <br />BtJTTJ)ER <br /> <br />;1J/~ <br /> <br />mrn'RACIOR SECTION <br /> <br />OAAhV/L/ <br />State Cert. or Regist. , <br />City License Registration , <br />**************************** *********** <br /> <br />CO!fPMY <br /> <br />Signature <br /> <br />:::z aMPABY <br />, State Cert. or egist.' <br />Si e ~ ~ City License Registration <br />~~;;.~..***.........***.. <br /> <br /> <br />S ignatiire <br /> <br />~~ <br /> <br />CO!fPARY - f'YJ~ 'T'~~ - <br />State Cert. or Regist:.' lJ ~ ~ It , <br />Y\1~ _ City License Registration t I '3 Co <br />** ************************************** <br /> <br />PLDtBER <br /> <br />KEmANICAL <br /> <br />CO!fPARY <br />State Cert:. or Regist:. I <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />onrF.R <br /> <br />CO!fPARY <br />State Cert. or Regist:. I; <br />City License Registrat.ion , <br />****************************************** <br /> <br />. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />. PERKIT OFFICER. <br />