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<br />. . <br /> <br />APPLICATION FOR PlOOtIT <br />CITY OF ZEmYRIIILLS <br />BUTIJ)IBG DJH:P,,'l l>"I'Hf!WT <br /> <br />~EPH ~H ,u....:>0 C-I ~N'A.. ~ C, <br />c: V~ j? ~tP <br />'f.r..\ . t5 ,'t '7 p3 <br />mORE '(8'2.- ~z.~( <br /> <br />OWRER "S <br /> <br />lWtE L,AI2.~ Y <br />ADDRESS ~ 84S '2 \ <br />tb~48 ~~ <br /> <br />~lJlA~ <br />P5 1:.tS. A vr;: _ <br />. <br /> <br />BL..VD.. <br /> <br />- <br />"2.&P"'t'fe.......,L.L-4II!a ~ r'-_ <br /> <br />OWNER I S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BI.OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t <br /> <br />WORK PROPOSED:....)C:...lIJev Construction ~tion _Alteration _Repair ~Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: <br /> <br />Single Faai1y <br /> <br />__KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />~~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool .1J:tbAT~JZ.. Ot:her <br /> <br />_Restaurant &: Hea1t:h Depart:aent Approval <br /> <br />BUILDING SIZE: It 0' X It.~ " <br /> <br />I ~l 'SO <br /> <br />Square Feet, <br /> <br />"2- 0 ' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHItERCIAL : <br /> <br />ATTACH (2) PLOr PI..US &: (2) SEI'S OF BUILDlJiG PLANS &: 0) SEI' ENERGY <br />AtTACH (3) SETS OF B1TII.DlllG PI..US &: (1) SET mmRGY FORKS. ** <br />**COPl' OF COIfTRACf RIlQIlfIKED. <br /> <br />PERMITS REQUESTED <br /> <br />FORKS. ** . <br /> <br /> <br /> <br />frf5'~ ~ <br /> <br />_BUILDING <br /> <br />L <br /> <br />ValuatiOlt or Tota1 Construction <br />- <br /> <br />_ELECTRICAL <br />~JfECIIA1UCAL <br />_PLUKBING <br /> <br />AMP Service <br /> <br />__F10rida Power COrp. <br /> <br />W.R.E.C. <br /> <br />S\~ CloonOO <br /> <br />Valuation or Mechanical Installation <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCI'ION: _B1ock _Fraae -.X-Stee1 <br /> <br />.. <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PRO.JECf IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />corfl'RACI'OR SECTION <br /> <br />CDKPJdl)'-: <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />BUILD~ <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />CO!IPAliff <br /> <br />SiJr08ture <br /> <br />St2.te ~ert.." '!)!."' R.~gi~t" ~. <br />City License Regist~~tion f <br />****************~*~*********************** <br /> <br />CO!IPMff <br />State Cert. or Regist. , <br />City License Registratioli I <br />****************~************************ <br /> <br />PLtJKBER <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />d/ OOIIPANY~cQ~~ ~\V!-~~~ <br />5t:ate Cert. or Regist. , q , 11 <br />City Lic~e Registration I ~ Sf <br />****~******************************** <br /> <br />KECllARICAL <br /> <br />CO!IPANY <br />State Cert. or Regist. I; <br />Ci~ License Registration , <br />*********~*****~******~**.~*************** <br /> <br />O'T'IIF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />