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<br />APPLJ:c:A'nn1!ii :fOR PRRmT <br />CITY OF' 7.1l.'PIffRIIILLS <br />BmLDl.~C; DEP~ <br /> <br />OWNER'S NAME s:T~c I3cJ2f?"n4.-J ~~CCti..wC PIIONE 90'1- 5' 79 - as I <br />( ~ <br />OWNER'S ADDRESS ;: cJ. 6.0-(' 4:? .QJ,.</ AN!(Jf'1I() ) ;c~ 3.3~76- <br /> <br />q{ . .. . <br /> <br />JOB ADDRESS/or /o~ - 6Y";l. 9 5/i-t/{e 42~ f)/(Ii/'( 2-e;;/((~/i/CJ:J ;Cc. '335'<7/ <br />I <br />,/'se.e AT11ac1lcD ') <br />LEGAL DESCRIPTION: I.OI'(S) /o'f(SCI4<(JI1.u... BlOCK_._SUBDIVISION S/LC/~ tP/DK:S <br />PARCEL LD.# {} 3 - ;;t' - .;).. I - 0 /2..0 - ({)Ooo - (t) ~o <br />WORK PROPOSED: ~ Coostruct:ion __..jo..d<tUtioa. _Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_,.._Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />~ing1e <br /> <br />F3IIily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_ec-ercial <br /> <br />___Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant &: Hea1t:h Depart=-en. Approval <br />:S-O X 5"'8, 25'1t,P T (j, ;? Square Feet. <br /> <br />13 <br /> <br />, /' . . <br />tJ 10 te'lJ~ Height <br /> <br />RESIDENTIAL: <br />cottKERCIAL : <br /> <br />ATTACH (2) PLOI' PI.A1!i~S: (2) SEIS OF BUILDING PLA.NlS &: (1) SET' ENERGY FORKS. ** <br />ATTACH (3) SEIS OF BlJJ....IDDrG PlANS 6: (1) SKI' ENERGY FORMS. ** <br />**COPI' OF CONTRACT lUlXlUI:R.RD. <br /> <br />PEImI.TS REQUESTED <br /> <br />/BUILDING <br />/' ELECTRICAL <br />/ KECllANICAL <br />/ PLUMBING <br /> <br />.:i- if. ~ 0 <br />:$ ~,OO() . <br />. <br /> <br />2t:JO <br /> <br />AMP Servj <br /> <br />Yaluat.ir~. of Total Construction <br />/Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />S 2..5' ~)tJ ) , <br /> <br />'li'aluation of Mechanical Installation <br /> <br />GAS <br /> <br />___R[)o0r~-~~~(~ <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />~f1'!LaIIC <br /> <br />_ __Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATImiS: 9) <br /> <br />FT. <br /> <br />IS PRa..UFc::T TN FLOOD ZONE AREA? <br /> <br />/' <br /> <br />YES NO <br /> <br />*****~**~***~~~**t~*********************** <br /> <br />COlNJ'l'RAcroR '>ECT'ION <br /> <br />BUILDER" CO!tPM.;'.l ~ ~. <br />IU- ~ St'.ate Cert. or Regist. , <br />Signature.fl4...c '/~ '. CiLJ7 License Registration :fI <br />**************t******~.~****************** <br /> <br />ELECTRICIAN /~, - WliPMiY (~n r /7'-1'/ I.-'i.~~ {' /'11" <br />,~// I //,' .' ~ State Cert. orL.!:~i ~t:.' , <br />SiPll:lture v:.-' I~ /;q/ I.-/./~I--- City License Registration I <br />*************~**************************** <br /> <br />/J <br />i -l,. '-r.. <. ( ~ d:!. ..!.<.:t. "I" ( <br />t<:,c i 2 1'-( t <br />-) cf) G--" <br /> <br />PLUKBER. <br /> <br />Signature <br /> <br />CO!IPMff <br />St:ate Cert. or Regist. , <br />., r;i~:y License Registration I <br />**********iblt.. ,.' ""*'.l'",*,*,**'iI:'1:*******,*********** <br /> <br />I <br /> <br />HECHAIflCAL~"'i ~'. CDiPA:..' l' 5' ~ ;f/ A/ c.{ "'5> <br />...- St:ate CerL or Regist. f R m i9fl ff'1 b I <br />Signature _~ ~:t;4 City I.kense Regis<ra<ion # ____.:..~ <br />** *~*****"'-;J:",1':.... .,.C, ""****'" -lI:**..:l-"'************** <br /> <br />0T1IER. <br /> <br />SignaLllre <br /> <br />C01fP.f""....1' <br />St:at:, Cert. or Regist. ,_~_ <br />___ .. t::iI lr:jT . icense Registration f._ <br />********-i'''''*-I.'''i; ~,/;',:': -t'i'i!-:! -i ..",.",**************** <br /> <br />APPLICATION APPROVED BY <br /> <br />';Il~hlf-~ <br /> <br />PERrITT O?ITCER. <br />