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<br />_ ~"""-:"I'C'l!'Il''''''-_ ".-"-"'..:'. <br /> <br />I. <br /> <br />APPLICATIOII FOR PER!IlT <br />GIn OF Zl!:PIIIKHU..LS <br />BUII.DIliGDEPARnIRKT <br /> <br />OWNER'S IiA!tE ~,v I c;;- <br /> <br />OWNER'S ADDRESS 3900 I <br />JOB ADDRESS cJ1Me <br /> <br />~/l-/furr <br />1171/ A ve:- <br />4-3 AD ue:- <br /> <br />mmm ?.P 2 - /37 a.:- <br />2=-PHY/l/i /. c. t. 5; r L , ....:J-::.5-.5 yo <br /> <br />LEGAL DESCRIPl'IOlII: UJI'(S) <br /> <br />IlLOCK <br /> <br />SUBDIVISIOR <br /> <br />PARCEL 1.. D. f /~ - .:<" -;2 / - 0 2. t 0 ~ 00 L 0 - 00 9 0 <br />WORK PROPOSED:_fIIev Construction ~ition _Alteration _Repair VInstall <br /> <br />_Sign <br /> <br />_l!Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ing1e Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Restaurant &: Bealt:h Depar~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDEMTIAL: <br />COttKERCIAL : <br /> <br />ATTACH (2) PLOT PIARS &: (2) SEIS OF BUILDING PI.AliS &: (1) SET ENERGY FORMS. ** <br />ATJ'AaI (3) SIJ.TS OF BUII.DIliG PI.MS &: (1) SET ERRRGY FORKS.** <br />**ropy OF roR"J"RACT Rm!UIRED. <br /> <br />PERKITS REOUESTED <br /> <br />-'BUILDING <br />VELECTRICAL <br />~CAL <br /> <br />$ Valuation of Tota1 Construction <br /> <br />AItP Service Florida Power COrp. <br />0<'> <br />$ I t/ 00 --- Valuation of Keehaniea.l Installation <br /> <br />W.R.E.C. <br /> <br />_PLUKBIliG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.. <br /> <br />TYPE OF roNSTRUCTIOR: _Block _FraIIe _Steel <br /> <br />Other <br /> <br />FIJ!IISIIED FLOOR ELEVATIOIIS: <br /> <br />FT. <br /> <br />IS PROJECT Di FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />: <br /> <br />COIITRACI'OR SECTION <br /> <br />BUTT J)F.R <br /> <br />COltPOY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br /> <br />ELE~~~iA~ I ~L' COIIPMIY /1 )J/TLG d/1JMN~. ~/Z-- ~{, <br />_ F:~ ~State Cert. or Regist. f E/2 t!JOOYS-S 3 <br />Sf 'dL..- City License Registration f ~yc, <br />. ********* ************************** <br /> <br /> <br /># 1/ /~ =~Cert. or Regist. I <br /> <br />Signat:ure K;;t....6..t City License Registration f <br />. ***** ************************************ <br /> <br />COltPARY hon..;"oJC} EA-C7'l6Y &~7/,A.I(.. ./ ~L//vb (;/1/, <br />State Cert. or Regist. f (7/1CO /5-? Z c:;- <br />City License Registration f /2- '7 <br />*********************~******************** <br /> <br />Signature <br /> <br />PL1JItBER <br /> <br />KECllARICAL <br />Signature G:JplYl A 'UH'~ <br /> <br />01"IIF.R COIIPMIY <br />State Cert. or Regist. i <br />Signat:ure City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />