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<br />APPL1.GAi".HJIF'J i"O:"'. l"~tt,,'iiTT <br />CITY OF 'lR'PIIYRlIT1..LS <br />BmLDTI!ilG DEPARl:IIfEJiJ1.' <br /> <br />OWNER'S <br /> <br />NAKE ~ennP{h -I- Deborah Ploefz- mmrn 7Sg- dl'/o'f <br />Ave) ZefAyr h',/Is} PL 33stjl' <br />Gare1en C()()"f <br />Ib BLOCK '2 _.SUBDIVISION S Aaw)s A.dJ,1-tO'Vlfu <br /> <br />3 7g 2 " <br />a hI) u-e. <br />UJr(S) L,+ /5"" Yz. <br /> <br />l;lft1Ufr~ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: <br /> <br />PARCEL LD.' /-.5--;26 ,-eJ-/ - 0 CJ;L 0 - D D:J-.O 0 <br />WORK PROPOSED:_New C'oo.struction V Addition <br /> <br />o /..5- 0 <br /> <br />_Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_D~lish <br /> <br />PROPOSED USE: V Single F3IIily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swi.a. Pool <br /> <br />Other <br /> <br />_Rest:aurant &: Healt:h Departaent Approval <br />BUILDING SIZE: '/0' f'r X /0 tg:' <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOt' PI..MlIS & (2) SEI'S OF BUILDING PI.ANS &: (1) SET ENERGY FORKS. U <br />ATTACH (3) SEI'S OF BUILDDlG PI.ANS &: (1) SET ENERGY FORMS."'''' <br />"''''COPY OF COIN1TRACT REllUJrI'RED. <br /> <br />PERKITS REQUESTED <br /> <br />V BUILDING <br /> <br />$ "-S p 5/Y OZ) <br /> <br />Valuation of Total. Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />_ _ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _i"rar>e __S teel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT.. <br /> <br />IS J?RO.JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />"''''''''''''''*''''''''''''''',*.~**'''**,fd''''''''i!:*'''''''''*'''*'''*****'''''''''** <br /> <br />Signat:.ure <br /> <br />COIJ'l'RACIOR SECTION <br /> <br />OOMPMYC7l~~~~ <br /> <br />State Cer1:. or Regis1:. , <br />City License Registration , <br />****"''''*''''''''''''***''''''''''''**''''''**''''''*'*'''*'**'''********* <br /> <br />BUILDER <br /> <br />ELECTRICIAH <br /> <br />OOlIPANY (=?I ~ ~ ~.Lht~ <br />State Cer1:. or Regis1:. , <br />City License Registration , <br />*"''''''''''****i!:~**'''****''''''******",,,,*,,,**,,,***,,,,,,,,,,,,** <br /> <br />Sismature <br /> <br />Signature <br /> <br />ctll!fPMW .~~ <br />Stat:e ee;::1:. or Regis1:. i# <br />City License Registration 41 <br />*******"''''**''''''*''"' ..1-'ii:*"'**'************+......+.-"'-Ac....'!!-'!: <br /> <br />PLtllKBER <br /> <br />HEC'BARICAL <br /> <br />CUlfPMD <br />Sta~e Cert. or Regist. , <br />City License Registration I <br />****"'*********~~~**'**"''**''''''*''''*'*'**'''*'''******* <br /> <br />Signature <br /> <br />OTHER <br /> <br />C:CiIfP~~,,!.c <br />State Cert. or Regist. i# <br />City License Registration , <br />**"''''***'*'''*'**'''*''''****'***'''*'''**'''***'*********** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY '-It a."",,~ ~(/v/lAY <br /> <br />PERKIT OFFICER. <br />