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<br />- <br /> <br />APmCATIOlNl FOR PERKIT <br />CI'IY OF ZEl'UIKH II.T,'s <br />BlllII.JllliG DEP.ARJKEJrr <br /> <br />OWNER'S RAHE 1. t. f/-z;o v & R <br />OWNER'S ADDRESS j J tJ ~- lift( )C <br />JOB ADDRESS /; / j; ~.... J-.- M )c <br /> <br />PIIOIm <br /> <br />78;( -:2~'/!l <br /> <br />sJ: <br />S't-{ <br /> <br />SOBDIVISIOlNl LJp:;. J( S / bE PJ. ~ I? <br />PARCEL LD.' ~"'J if- ? I - 1!6~ bL ... ,.;zi -:< / - (j~.2 6 - ~ 6 St)[) -.. () I!J 10 <br />WORK PROPOSED:_lNIev Construction ~tion _Alteration ~epair "./ Install <br /> <br />.> <br /> <br />LEGAL DESCRIPTI08: I.OT(S) <br /> <br />BI.OCK <br /> <br />S' <br />- 19D. <br /> <br />_!!love <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: <br /> <br />Sing1e Faai1y <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />~K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swi..-. Poo1 <br /> <br />Other <br /> <br />_Rest:aurant &: Hea1t:h nepan:.ent Approva1 <br /> <br />BUILDIIIG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL : <br />COKtfERCIAL : <br /> <br />A'lTACII (2) PLOI' PLMIS &: (2) SEI'S OF BUII.DDiG PI.AlNIS &: (1) SEr ENERGY FORKS. ** <br />ATI'ACII (3) SEI'S OF BUII.DDiG PLMIS &: (1) SEr ElNIERGY FORKS.** <br />**COPT OF cnNTRACT REQm:RED. <br /> <br />PI!RlPfTTS REOOESTED <br /> <br />_BUILDING <br />/ ELECTRICAL <br />"""'--KECllAlUCAL <br /> <br />$ <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />AKP Service F10rida Power COrp. <br />f n\'~ ",0 <br />$ 9 I:) '..) v Va1uation of Kechanica1 Inst:allation <br /> <br />W.R.E.C. <br /> <br />_PLUKBIlfG <br /> <br />GAS <br /> <br />BOOFDlG <br /> <br />SPECIALTY <br /> <br />" <br /> <br />TYPE OF COIISTRUCTION: _B1ock _FraIIe _Stee1 <br /> <br />Other <br /> <br />FTInSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT DI FLOOD ZOO AREA.? <br /> <br />YES NO <br /> <br />***************...................*.....** <br /> <br />COftD'RACIOR SECTION <br /> <br />.. <br /> <br />CO!IPANY <br />St:ate Cert. or Regist. , <br />City License Registration , <br />.*....*...................*...*..........* <br /> <br />BUILDER <br /> <br />Signature <br /> <br />::crRIrnH JJ <br />S' ::Iture d~} <br /> <br />~A <br /> <br />"p-.r <br />St:ate Cert. or Regist., f <br />City License Registration <br />**.**~.**....**.....**.........*..*..***. <br /> <br />CO!IPARY <br /> <br /> <br />COlIPARY <br />State Cert. or Regist. , <br />City License Registration I <br />................**..............*.*.**.*.* <br /> <br />PI..OtmER <br /> <br />Signature <br /> <br />Signature <br /> <br />D ~' COlIPARY r.(t I:i-,l/e'/lk-~ 114~ ;t/Jt jJ <br />St:ate Cert. or Regist. ,f <br />_ ~ ~ ~ CHy License Registration t L;( 1 <br />.*............**..........*......*..*....* <br /> <br />KECllARICAL <br /> <br />CO!IPARY <br />St:ate Cert. or Regist. t <br />City License Registration , <br />.**.......****....**. ........... .... <br /> <br />O"I"RF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERKIT OFFICER. <br />