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<br />APPLICATXOR FOR pERKI.T <br />CI'IY OF ZI\;PltYIUlII.I_c; <br />ntrrLDDiG DEPARI'HENT <br /> <br />"\ <br /> <br />OWNER'S NAME ..$ # /'F LA- <br /> <br />f..J. c.' F r ~ A' <br />OWNER'S ADDRESS 5"";2~ ~ - II:!' d -:./~~....Ji. <br />JOB ADDRESS ?'~/-? ~ L/~ s-CL t'v'.t?./_T-- <br />,/. . <br />LEGAL DESCRIPTION: wr(S) ;?- 9;- /0 B.LDCIC/?" ~ SUBDIVISIO~ ~~ /y,.,6 r/ <br />PARCEL I.D.~,/~ if._zL~4 /L) - /1"< G ;2 / cJ 0 /0 Ie ? L9 0 ,,() ~ 0 <br /> <br />mONE ')t, 1- c:;-/ '/ / <br />c-rr~~~ 7h- ~.<~/ <br /> <br />'L' ---~. <br />.::' ~ S c~. - <br /> <br />/.~/~; <br />-/ <br />r:;. " / ~--v <br />I ~- <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Alt.enltion <br /> <br />~liSh <br /> <br />~Repair <br /> <br />_Install <br /> <br />troRK PROPOSE.D:_!N1ew Construction <br /> <br />.----J\ddition <br /> <br />PROPOSED USE: <br /> <br />Single Faraily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_"-/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />O~er <br /> <br />_Rest:aurant &: Bea tth Depar-=-ent Approval <br /> <br />BUILDING SIZE: j q <br />. <br /> <br />x .:;-.:~, <br /> <br />~007 . <br /> <br />G <br />Height I t1,Y <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />Square Feet, ~~CJ/7 <br /> <br />ATTACH (2) PLOT PI..M.:. &: (2) SKIS OF BUII.DING I}I..Ir\~S &: (1) SET Th"ERGY FORMS. ** <br />ATTAC.lI (3) SETS OF BlITLDDlG PLMilS &: (1) SET ENERGY FORKS.H <br />**COPY' OF COJ!n'RACTR~.QUlTIUID. <br /> <br />PERKI'IS RROlW_<iTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />valuation of Total Constniction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECIIAlfiCAL <br /> <br />s <br /> <br />valuation of Mechanical Installation <br /> <br />~UKBING <br /> <br />GAS <br /> <br />ROOFIHG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~lock. _Fra8e _St:eel <br /> <br />other <br /> <br />Fl. . <br /> <br />IS PROJECT IN FLOOD ZONE ARF_~? <br /> <br />FIIiISBED FLOOR ELEVATIONS: <br /> <br />YES NO <br /> <br />*****-f:-f:*~~**********-f:**-f:-f:-f:-f:-I:***-f:-f:-f:-f:-f:**-f:**-f: <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />11 COKPANY <br />State Cert. or Regist. ~ <br />. : i--y? ~ /1 ~ City License Registration !# <br />****-f:*-I:-I:~-f:-I:***********-I:-I:-f:-I:*-f:-I:*-f:-I:-I:*-f:-f:****** <br /> <br />BUII.DER <br /> <br />6 &3 <br /> <br />Sismature <br /> <br />CQ'!IPAl!iY <br />State Cert.. or Regisl:. 1# <br />City License Registration f <br />*-l:-f:****-f:-Ii,-.!c-l:******************************* <br /> <br />El.ECTRIClAN <br /> <br />Signature <br /> <br />cmtPANY <br />State Cert. or Regist. #. <br />City License Registration I <br />******-1:* ~_ ,.I:-f:-I:*-f:-I:******-f:***-f:it...*****......-iI::-iI::-iI::-=--f:iI;--f: <br /> <br />PLIJKBER <br /> <br />Signature <br /> <br />COKPANY <br />State Cert. or Regist. J <br />City License Registration ~ <br />******-I:*~*****************~*****-f:*****-f:*** <br /> <br />MECHANICAL <br /> <br />. <br /> <br />Signa t:ure <br /> <br />CO'!fPANY <br />State Cert.. or Regist.. i <br />City License Regisl:ral:ion ~ <br />***-f:***.~******-f:-f:****************-f:******** <br /> <br />OTHER <br /> <br />. <br /> <br />APPLICATION APPROVEO BY 'J! ~ _ ~ iVI-1),-" <br /> <br />PERMIT OFFICER. <br />