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<br />APPLICATIOR FOk i"ERHIT <br />CI'IY OF ZEl'UIKH I Ll.S <br />BUIIJ)llIIG DItPARDtRIiT <br /> <br />~ <br />OWRER'S NMIE e:. /1" ~ / /.frs,.~" /.- /.l~ v <,,' / c Cc-,'-< K.-"'r ":::..z;- <br /> <br />OWRER'S ADDRESS I 706 y~ c/,~tc~~~ c..e~ c/' /z:.:../ > //, "L-/ <br />/ A ' <br />.JOB ADDRESS \9?~cg J~tlP~ 3'8'6cS! ,o-::::::-At/E? ,,:?5'627f". ~A</~. flJ...?// <br />/ -.eye ,.,/ -j/.5?/ / - <br />~ DESCRIPl'IOI!J: LOI'(S) ~ 'i r 3 ~SUBDIVISIORJ N' . <br /> <br />PARCEL LD.' //--0(6 -d/- ctJ /().- /6qao --crJ/() <br /> <br />PHONE <br /> <br />)'? ~~ -76 ce- <br /> <br />/ .e"'~ J/X. <br /> <br />-- <br /> <br />WRK PROPOSED:_5ev Construction .--J'ddition _A1teration _Repair _Install <br /> <br />S. <br />- 19I1 <br /> <br />_Hove <br /> <br />_De.o1ish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/B <br /> <br />_~rcia1 <br /> <br />_Indost. <br /> <br />_Swill. Poo1 <br /> <br />Other <br /> <br />_Restaurant 5: Hea1th ~t Approva1 <br /> <br />BUILDIliG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cotttIERCIAL : <br /> <br />A'JTAaI (2) PLOI' PLAJlS 5: (2) SEI'S of BUD..DllIIG PI.A5S 5: (I) SEt' ENERGY FORKS. ** <br />ATI'AaI (3) SEI'S OF BUILDIIII/G PI.A5S 5: (I) SEt' ElMRRGY FORKS. ** <br />**ropy OF roNTRAct :RIlQIDIRIID. <br /> <br />PERKITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ ~,;( 7~, t:_c <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br /> <br />$ <br /> <br />Va1uation of Hechanica1 Installation <br /> <br />_PL1JttBIlfG GAS KOOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF roNSTRUC'l'IOl!i: _B1ock _FraIIe _Stee1 <br /> <br />Other <br /> <br />FIIIISBED FLOOR ELEVATImiS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD WIfE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />ClHlTHACIOR SECTION <br /> <br />Bml.DF.R <br /> <br />CO!IPBY .c /V'YLb") <br />~'/I ~.. St:ate Cert. or Regist. I <br />-' . /f/ . ,,/II . - City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />~CIAN CO!IPARY, <br />) / /) ) .--',/-7' St:ate Cert. or Regist. I /::::P0c:1c'J~6--:Yc:f <br />Si mlature /1 / .//d it' f~ 17'---<' L City License Registration , ..JO <br />****************************************** <br /> <br />Signature <br /> <br />CO!IPAKY <br />State Cert. or Regist. I <br />City License Registration , <br />..*.*****_**____~~~._*~~k~~~.******~~**~* <br /> <br />PI.DlBER <br /> <br />KECllAllICAL CO!IPARY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />**********~********.........******************** <br /> <br />O'I"IIF.R aJlIPARY <br />St:ate Cert. or Regist. f <br />Signature City License Registration I <br />*..**..**......*....*~.*****..**..******** <br /> <br />APPLICATION APPROVED BY PERHIT OFFICER. <br />