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<br />- <br /> <br />APPLTCKfIOIN! r'Ok l'E1UnT <br />c:rr:lt OF ZE:PllIiU:rnI.LS <br />BllfIlllIlIilG mr,PAR:>m'l'.iNT <br /> <br />OWNER'S NAME <br /> <br />C" #>'~ ,'Orl <br /> <br />8u9 <br />, <br /> <br />PlIOi1fll: <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />;/U/Y <br />r <br /> <br />50/ <br /> <br />N <br /> <br />d-- <br /> <br />~A.pff'/ <br />I <br /> <br />PO/Y/ ;eel <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BTnc:K <br /> <br />SlffiDIVISIONl <br /> <br />PARCEL 1. D . ~ <br /> <br />WORK PROPOSED:_lNJe'W' Construction _Addition _Alteration _Repair _Install <br />~gn <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: <br /> <br />Sing1e FatDily <br /> <br />_KIF <br /> <br />__, of Units <br /> <br />_H/H <br /> <br />_Cosmlercial <br /> <br />_Indost. <br /> <br />_SwiD. P<x;l <br /> <br />ather <br /> <br />_Resmurani:: Ii: IIealt:h Deparbilllent: Approval <br /> <br />BUILDING SIZE: <br /> <br />, r <br />70 X~J~_,_ <br /> <br />_______Square Feet,_ <br /> <br />He;ight <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SE.TS OF BlJTIUHINiG PLAOOS & (1) SET ENERGY FaRMS. u- <br />ATTACH (3) SETS OF BlITIJ)Di1G PlANS .& (1) SET .ENE:RGY FOIatS. H <br />**copy OF COIlITRAG1" RE'Qlf.JJ3ffil,l])" <br /> <br />'p_E:itt."fiTS RF;QlIlESTEQ <br /> <br />_BUILDING <br /> <br />$ <br /> <br />?~cJ <br /> <br />Va]ua1:ion of Total ("..onstluction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Pm>i'er c.:-"i~. <br /> <br />W.R.E.C. <br /> <br />_HECHANICAL <br /> <br />$ <br /> <br />Valuatiou of Hechanic3~ Il1sta11ation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />_____ROOFI~G <br /> <br />,.:3PECl'ALTY <br /> <br />TYPE OF CONSTRUCTION!: _Blodi.: <br /> <br />,___Frallil"-.: ___Steel <br /> <br />Other <br /> <br />\.. <br /> <br />FII!fiSHED FLOOR ELEVATImi!S: <br /> <br />IF:'~ <br /> <br />IS PFD:fECT IN FLOOD ZQ?lf:E .'IRE..>\? <br /> <br />YES NO. <br /> <br />~~~~*~~~~~~~~t~~*~~~t~*~*~*~.**~*~~~~*~~** <br /> <br />BUILDER <br /> <br />~u <br /> <br />Oll~~J\C.'VQF_ 'sRCT'fOiN' <br /> <br /> <br />OOiMI'JkI,{..J2Pf4//~ ~r9Af'>' /;""'0 <br /> <br />State (.:,,;rL or Regis\.:.!# i(XOOS? ~~-::?- <br /> <br />O\A.--J Cit:y '.License lRegist:ration # <br />*-A clI:'II:JIr "".:1: 'II: 1Hk -I.\.il'1ll;1ll:il:il:i\-'.e, 1\1:-Al:iI: Fd"-!i: '10\-1\1: ~ 'I: il: 1l:* 'II: il:1l: il:.Jl: flc'& ""* i!o ~ <br /> <br />Signature <br /> <br />SiRTlature <br /> <br />r)t1\jiP1~J~ <br />Stat.:.' ',;,:~:'t. :>r Reg:~st iF <br />City :L,ice~~se Regisi'':r:~'cJi_O[\ 4ffi <br /> <br />EI.ECTRI CIA.~ <br /> <br />~~~~~~ ~*~~~~.~~*~~~~-~~*~~~~i7~~~~~~~i.~*~~~ <br /> <br />PLUKBER <br /> <br />0!.llliPA~1Y__ <br /> <br />Sta't.c CerL or Regist. j# <br />..,____ City L':. 'c:..iSIC RegiS1:.T2.::ion # <br />~****"d~-j!,*i!:xi!:-j!,*****..\b:ib.,"'",**:c'-,,*1l:****-5.:,~ . .Od,"~** <br /> <br />Signature <br /> <br />HEClLL\.NICAL <br /> <br />OD:lfP)'1I1"y <br />---- <br /> <br />Stat'2: Ce'c~_ or Regist:. # <br />Cit:.)" J"icense Regist:cat.ion ;.~ <br /> <br />Signature <br /> <br />*~~~~~*~~~~***~**~xi~~~'***~*~~~.~**~~*~~~~~** <br /> <br />OTlJER C1Dfi'fi' J'J.k( <br />St;,jt~:..~ Cere. or Regis~:'. #_ <br />Signature _~_.' ___.____.. Ci1t'Ji' License Registration 1# <br />"'clI:*~..., _',,,,~***-.II-***,,,.*'..a--l>~"'.*1~"'***il:*******ool!:**~,1ll;*\I> <br /> <br />APPLICATION APPROVED BY PElUnT aFFICER. <br />