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<br />APPLICATION FOR PERKIT <br />CITY OF ZIlruIKflll..T..s <br />BU.il.DDIG DHPARIIImn' <br /> <br />OWNER I S <br /> <br />_u~ (.~ C-- <br />~,:;> A,;? "'" J / q.s' CJ"..v <br />ADDRESS 3cF-6?< F /ff;3J/e ~p~ <br />J7 dq --e' <br /> <br />- <br /> <br />PIIOD /OtJ - '?J=-")./ <br />w;.-v;1;.-l..-1' ~L~ .z~h1/& <br /> <br />./ <br /> <br />OWNER "S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'IOJI: I.DI'(S) <br /> <br />BI.OCK <br /> <br />SUBDIVISION ~; /via..,... /' ~.....6A-* <br />./ ' <br /> <br />PARCEL I. D. t <br />WRK PROPOSED:_5ev Construction ~ition _Alteration _Repair _Install <br /> <br />S. <br />- :LgIl <br /> <br />_tIove <br /> <br />_De.o1ish <br /> <br />PROPOSED USE: <br /> <br />Sing1e F3IIily <br /> <br />---'I/F <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_<=<<-ercia1 <br /> <br />_Indust. <br /> <br />_Swi.-. 1'001 <br /> <br />Other <br /> <br />_Restaurant & Bea1th Depart;JEnt Approva1 <br /> <br />BUILDIlIG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COItIIER.CIAL : <br /> <br />A1TACII (2) PLOI' PI.AIIIS & (2) SEIS OF BUlLDIIiG PLUS & (1) SE.T ENERGY FORKS. ** <br />ATI'ACII (3) SEIS OF BUllDDIG PI.ARS & (1) SE.T ENERGY FORKS. ** <br />**COPY' OF CORTRACT :KIlQUIRIlD. <br /> <br />PJr.III!fT1'S REOOESTED <br /> <br />~UILDIlfG <br /> <br />$ <br /> <br />Va1uation of Tota1 Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECBABICAL <br /> <br />$ <br /> <br />~al'!llati~ !):f !!ecbtmic~.1 In..c;tallation <br /> <br />_PLUKBIlIG GAS HOOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COlfSTRUCTIOR: _B1oc1t _Fraae _Stee1 <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVATIOIiS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZOIiE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br /> <br />~ X. 4~/.....(. WWIIIACmR SECTIOJI <br /> <br />RmT.DF.R ~~' COItPOY <br />.,. _'" St:ate Cert. or Regist. , <br />Signatur. ~ / . City License Registration f a.~~ <br />******* ********************************** <br /> <br /> <br />S. <br /> <br />( COItPARY <br />1. ~St:ate Cert. or Regist. f <br />.......J::::-:..-,~City License Registration t <br />** ************************************ <br /> <br /> <br />.~ ;{ <br />'" . . <br /> <br />PLtItBER <br /> <br />Signature <br /> <br />COItPARY <br />St:ate Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />KECllAlfICAL <br /> <br />Signature <br /> <br />aJ!IPMY <br />St:ate Cert. or Regist. t <br />City License Registration I <br />*******************~******************** <br /> <br />O'TIIF.R <br /> <br />S igoature <br /> <br />COItPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />'-II 4.d<Le< s;Jl.12~ <br /> <br />r~~~"~'M_' p~J'.' ER. <br /> <br /> <br /> <br />l_~,_.>,.,.~,.... "" u.,. ,,'~n <br />