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<br />APPLICATIOl!il1 FOR PERMIT <br />CITY OF ZKl"'lY}u~ LLLS <br />mrrI.DIl!iI1G DEPARlll'JIE'.l!iI1T <br /> <br />OWNER'S NAME e i 1-1 01 Z ~A 7; A,. / /s <br />OWNER'S ADDRESS S-3 ,3' ~ Y /-J; sf. <br /> <br />PlIONlR <br /> <br />7~S'- ~313 <br />33o~CJ <br /> <br />.7 rA Jr/'; //5 I PI <br /> <br />JOB ADDRESS <br /> <br />StC.-me- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION! <br /> <br />PARCEL LD.# <br /> <br />WRK PROPOSED:_~ew Construction <br /> <br />--^ddition <br /> <br />V.lUteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_l!Iove <br /> <br />_DellOlish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br />~CoI'IIIIercial <br /> <br />_KIF <br /> <br />_:If of UJni~s <br /> <br />_HIll <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Restaurant & Hea t th ~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLM~. & (2) SEI'S OF BUILDING PL.M~S Ex 0) SET RHERGY FORMS. u <br />ATTACH (3) SETS OF ElULDDifG PLANS & (1) SET ENERGY FORHS.H <br />1I'1I'COPT OF COwrRACT R ~Qmr:RED. <br /> <br />PERIPII'IS RFJ)UR.<iTED <br /> <br />.,/ BUILDING <br /> <br />$ J3, (,d1./' cC) <br /> <br />Valuation of Total Construc~ion <br /> <br />_ELECTRICAL <br /> <br />AMP Se ~'Vice <br /> <br />, <br />Florida Pm..'>er Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />--:.:.PUlKBING <br /> <br />_".._,,___GAS <br /> <br />____KOOFTIiG <br /> <br />SPECIALTY <br />--~'.-...-.- <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_F'nmle _Steel <br /> <br />Other <br /> <br />FIIfISHED FLOOR ELEVATIONS: <br /> <br />FL <br /> <br />IS PROJECT IN FLOOD ZONE ARPA? <br /> <br />YES NO <br /> <br />...*.**.~~...*.****.*...*.***.***.******** <br /> <br />BUIT.DRR <br /> <br /> <br />mnRACIOR SECTION <br /> <br />ml!fPANY 7l7. If. 71/c 1(' e r 5 O,)L, In (!... <br />State Cert. or RegisL ,ill CC::> C. 047.;)0/ <br />City License Registration #' 3~ ('l <br />**.*.~****.***..**.********....**.**..* <br /> <br />Signature <br /> <br />ELECTRICIAN WlfPANY & /'(ih 1:/6.<7; I C <br />, d.6!,~ Stcat;e CerL or Regisr. # <. <br />SiJ!Jl.3ture 6/~ 'I:aZ?! City License Registration I //"'-:{' <br />{~ "." **.~**.**.*******..********.*..**.*.. <br /> <br />ml!fPAHY <br />State Cert. <br />City Lic <br />*******.~*.**.***.*.******. . <br /> <br />PLUKBER <br /> <br />Signature <br /> <br /> <br />or Regist. '4# <br />egistration I <br />**.***-.t-.*.. <br /> <br />( <br /> <br />Signature <br /> <br />~" ml!fPANY ~71-----:r-""~- <br />1 /J (1 State Cert. or ReglsL <br />I /t/---Jt:::.7 rY1u~.f (.r~i1 City License Registration j <br />/ *******.~*.**********..**.~.***********.** <br /> <br /> <br />rV\ () 0 j;"{ f~ k:' ! <br />ff 2-. <br /> <br />MECHANICAL <br /> <br />COlIPANY <br />State Cert. or Regist. '4# <br />City License Registration '4# <br />*******...'-1..'*********.***...*............********* <br /> <br />l1CXM~"~ ~Q/14,^'J <br /> <br />. <br /> <br />OTHER <br /> <br />. <br /> <br />Signa l:u.re <br /> <br />APPLICATION APPROVED BY <br /> <br />PER.\fIT OFFICER. <br />