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<br />APPLICATIOS FOR PERKIT <br />GI'IY OF 2.u'u1'.KUl.LLS <br />BlITLDIRG DEPAR'IlIIRNT <br /> <br />" r <br />~f'\'- --' <br /> <br />.f , <br /> <br />Co ~-.. '-i r r..;.e.{. <br /> <br />. <br /> <br />OWNER'S RAKE ;-)U Y\ ~ V\.k, J VtC I <br />OWNER'S ADDRESS P0. ~ .2f3.2q <br />7 ea f ) ",if- <br />JOB ADDRESS 30 I ,).::). ~cJl <br /> <br />C)\ ~ \f\.c\o ~t . <br />2cl-> ~l/t-~\ \ \s <br /> <br />I <br /> <br />PIlOn: <br />3.2. Boz <br /> <br />2321 <br /> <br />LEGAL DESCRIPTIOIM: UJI'(S) <br /> <br />BL.OCK <br /> <br />SUBDIVISIOS <br /> <br />PARCEL I. D. f <br /> <br />WORK PROPOSED:_lIev Construction _Addition _Alteration _Repair _Inst:all <br /> <br />V'S. <br />- 19I1 <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Sing1e Fallily <br />/~rcia1 <br /> <br />_a/F <br /> <br />_, of llJnits <br /> <br />_K/H <br /> <br />_Indust. <br /> <br />_Swi..-. Pool <br /> <br />Ot:her <br /> <br />_Rest:aurant &: Hea1t:h ~t Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COttItERCIAL : <br /> <br />ATtACH (2) PI.OI' PI.AIIIS &: (2) SETS OF BUIIJ)DiG PLUS &: (1) SET ENERGY FORKS. ** <br />A'lTACH (3) SETS OF BUII.DDIG PLUS &: (1) SEI' El!mRGY FORKS. ** <br />**oopy OF OOwrRAcr BEQ1IJIRIlD. <br /> <br />PJmlITS REQUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />56* ~~5~ <br />c <br /> <br />Va1uation of To1:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />.Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_IfECIIAIiICAL <br /> <br />$ <br /> <br />Va1uation of Hechanica1 InSt:allation <br /> <br />_PLUKBlllG GAS KOOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF roNSTRUCTIOII: _Block. _Fra.e _Steel <br /> <br />Ot:her <br /> <br />FTIlISHED FLOOR KLEVATImS: <br /> <br />FT. <br /> <br />IS PRO..JEcr IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************......********************** <br /> <br />BITTTJ)ER <br /> <br />COS'I'KACIOR SECI'rON <br />I. \ <br />COItPANY L~c"'~ t~~/ ..::::>:,:... ,. 0c~ 'f'&... Cort~. <br />State Cert:. or Regist:. I j;'~~c::> ~ <br />City License Registration I 096 <br />*************.**************************** <br /> <br /> <br />Signature <br /> <br />CO!IPAIMY <br />State Cert:. or Regist:. I <br />City License Registration f <br />....******..***......*...**..***************** <br /> <br />SiPnature <br /> <br />PLOftBER <br /> <br />COItPANY <br />State Cert:. or Regist:. , <br />City License Registration f <br />***********.****.*.*********************** <br /> <br />Signature <br /> <br />Kl!DlANICAL <br /> <br />CO!IPMY: <br /> <br />Signature <br /> <br />St:ate C~rt. or Regist. I <br />City License Registration I <br />****************.*****0***********.*.***** <br /> <br />01"IIF.R <br /> <br />COItPAlW <br />State Cert. or Regist:. I <br />City License Registration I <br />***.*.***********.*****~**~**.*.********** <br /> <br />. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />