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<br />APPLICATIOII FOR PERKIT <br />CI'IY OF Zil;n(IKH II.T.!': <br />B1JlII.DJ]IIG DEPARJ!IR!n' <br /> <br />OWNER'S RAKE -JOseph4 bev,e\lCt. LJ 1 11'-CLmS PIlOn <br />OIlIIER'S ADDRIISS .3 7'10 10~ t9venve. 2eph~ <br /> <br />cSClme A-s 4 bo Je.- . <br />10 - 'II _:(f-n04-0 -00300-00'0 <br />LEGAL DESCRIPTION: I.OT(S) _ \)(lO BJ:.()(x SUBDIVISIOM <br /> <br />ry'to - (;; D ,5" <br />3~540 <br /> <br />JOB ADDRESS <br /> <br />S. <br />- 19B <br /> <br />_!!love <br /> <br />_De.o1ish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />__' of Units <br /> <br />_K/H <br /> <br />_ec-ercia1 <br /> <br />_Indust. <br /> <br />_Swm. Poo1 <br /> <br />Ot:her <br /> <br />_Rest:aurant &: Hea1~ ~t Approva1 <br /> <br />BUILDIlIG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COItKERCIAL : <br /> <br />A1TACII (2) PLm PI.A5S &: (2) SEIS OF BUILDIIiG PlANS '&: (1) SEI' ENERGY FORKS."'''' <br />A1TACII (3) SETS OF BUD.DIIIG PLUlS &: (1) SEl" ENERGY FORKS."'''' <br />"''''OOPY OF OONTRACT KIlQUIRED. <br /> <br />_BUILDIlIG <br /> <br />7?>qL/,J-/t <br />$ ~j_1 i ,4-J3 <br /> <br />PERIPITTS REOdESTED <br /> <br />Va1uation of To1:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />iUIP Service <br /> <br />~F1orida Power CQrp. <br /> <br />W.R.E.C. <br /> <br />-.JIECIIAIUCAL <br /> <br />$ <br /> <br />Va1uatiou of Kecbanica1 Inst:allation <br /> <br />_PLUKBIlIG GAS HOOFDlG <br /> <br />SPECIALTY <br /> <br />TYPE OF OOIlSTRUCTIOIli: _B1oclt _Fraae ._Stee1 <br /> <br />Ot:her <br /> <br />FIBISIIED FlOOR ELEVATImIS: <br /> <br />I'T . <br /> <br />IS PROJECT IH FlOOD ZOIfE AREA? <br /> <br />YES NO <br /> <br />........................................................It............................................................... <br /> <br />Signature <br /> <br />COIII'RAcroR SECTION <br /> <br />lDIPAJIY ('u(\{).~h~ C~'t~ <br />State Cert. or ist. I e 4.f ~ 33 <br />City License Registration I 0d ~ <br />...............t.................................................................................................. <br /> <br />ROTT .DF.R <br /> <br />RT.RCTRTCIAII <br /> <br />COIIPMY <br />State Cert. or Regist .'1 <br />City License Registration f <br />....................................................~.*....................................................... <br /> <br />Silmature <br /> <br />PlDIBER <br /> <br />COIIPAliY <br />State C€::rt. or Regist:. " <br />City License Registration f <br />................................*................................................................................. <br /> <br />Signat:ure <br /> <br />Signat:ure '- <br /> <br />fJ4;;~--~ <br /> <br />s....." ~ ..,. <br />OO!IPMY c 50u , H~~.~'";>e,:....l <br />St:ate Cert. or Regfst:. .f 666 <br />City License Registration f 17 <br />.................................*****.............................................................................. <br /> <br />KECIIAlIICAL <br /> <br />-}Z =f:,. <br /> <br />aJIIPAlIY <br />St:ate Cert. or Regist:. I <br />City License Registration I <br />............................ A.. AA&................................................................ <br /> <br />. <br /> <br />0T1IRR <br /> <br />Signat:ure <br /> <br />APPLICATIOII APPROVED BY <br /> <br />PERMIT OFFICER. <br />