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<br />APP):.~W\'I:miiil F\lR PERKIT <br />CITY OF ~:nrH I u,~ <br />BUTI.DIRG DEPARI1!IENT <br /> <br />\ <br />OWNER'S RAttE \::::'L-\ \ 0<)<) ~ ~\ V'v\ St' V <br />. 7 <br />OWNER'S ADDRESS 2D 5 5 WOo J. C;; + <br />JOB ADDRESS "7 3 4 S 6:> A ((, ~ (" J) <br /> <br />moNE eJ~ q 5 4 09C, 0 <br />~~D-5~k ~~" '341-3 7 <br />t=A.~~,o"... ~v~ <br /> <br />LEGAL DESCRIPTION: WI'(S) <br /> <br />BLOCI( <br /> <br />StmDIVISIOR <br /> <br />PARCEL I. D. t <br /> <br />WRK PROPOSED:_lNIev Construction ~tion _Alteration _Repair _Install <br /> <br />S. <br />- J.gD. <br /> <br />_lItove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_"IF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_S~. Pool <br /> <br />Other <br /> <br />_Restaurant &: Bea1th Depart:aent Approval <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESID'ENTIAL: <br />cotmERCIAL <br /> <br />ATI'ACII (2) PLOl' PLAlIIS &: (2) SEI'S OF BUILDIIIG PLANS &: (1) SEI' ENERGY FORKS. ** <br />ATTACH (3) SEI'S OF BUll.DIRG PLUlS &: (1) SET ERERGY FORKS.** <br />**OOPT OF OORTRACT lUlQ(DIRED. <br /> <br />PERnITS REOlJF.CiTED <br /> <br />_BUILDTNG <br /> <br />$ <br /> <br />Va1.uation of Tot:a1 Construction <br /> <br />F.I.F.C'I'RI.CAL <br /> <br />AfIP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valu.~tio! of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROaF'TIiG <br /> <br />SPECIALTY <br /> <br />.. <br /> <br />TYPE OF OONSTRUCTI08: _B1ock. _Pralle _Stee1 <br /> <br />Other <br /> <br />FTIiISIIED FLOOR ELEVATI08S: <br /> <br />FI' . <br /> <br />IS PBOJECT IN FLOOD ZOliE AREA? <br /> <br />YES NO <br /> <br /> <br />**********************~******************* <br /> <br />!DIfilTRACIOR SECI'ION <br /> <br />m!lPMY ke/J~ ~ kJ~5(\/ <br />State Cert. or ist. I / <br />Signa City License Registration" ...3'S-7 <br />****************************************** <br /> <br />=~1Z?~t.~~;!;r:~ :: <br /> <br />S' City License Registration f ~ $I '( <br />****************************************** <br /> <br />PLUttBER L m!IP~ ~- <br /> <br />~ State Cert. or Regist.:it 'v .- <br />Signature L.U,1 ~ City License Registration f / .so <br />****************************************** <br /> <br /> <br />m!lPMY <br />State Cert. or Regist. t <br />City License Registration # <br />****************************************** <br /> <br /> <br />CO!IPMfi <br />State Cert. or Regist. t <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />