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<br />APPLICA'fifJlLD FOR P -:RKlT <br />CITY OF ZIlPJIYFHH.LS <br />BUILDlliG DEPAR:I;1fEMT <br /> <br />OWNER'S NAKE~06 to / f'\ fe (- s <br /> <br />mmm <br /> <br />OWNER'S ADDRESS <br /> <br />LUt~+e~cs hr . <br /> <br />JOB ADDRESS 321 1 17 <br /> <br />LEGAL DESCRIPl'ION: LOT(S) <br /> <br />B.LOCl{ <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f <br /> <br />WORK PROPOSED:_lMev Construction ----.JWdit.iOlt ___Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_lIIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_"IF <br /> <br />__, of Units <br /> <br />_K/H <br /> <br />_<=<-ercial <br /> <br />~_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Rest:aurant &- Health ~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />. RESIDENTIAL: <br />~CIAL <br /> <br />ATTACH (2) PLOI' PLARS &- (2) SEIS OF BUILDING PI..AIiS &- (1) SRT ENERGY FORKS. ** <br />ATI'ACH (3) SETS OF BUII.DDK: PLARS &: (1) SET ENERGY FORMS. ** <br />**COPY OF CORTRAGr RIlQUIlUlD. <br /> <br />PEmlITS REqY1JE5rED <br /> <br />_BUILDING <br /> <br />$ 1P2lJO ,ov <br /> <br />Valuati(j;u. of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />A!IP Service <br /> <br />__Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KEaJAlUCAL <br /> <br />$ <br /> <br />\-cl.luat101l ot: dechanical 1n.st:allation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fra.e _St"eel <br /> <br />" <br />('oNe kCr&' Other <br /> <br />FlIISHED FLOOR ELEVATIOBS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />**************%*******x******************* <br /> <br />aHilTRACIOR SECTION <br /> <br />BUTT .oF.R <br /> <br />J8 <br /> <br />i3~J/~ oJ <br /> <br />+ <br />St:ate Cert:. or Regist:. , <br />City License Registration <br />**********************~~****************** <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />CO!IPMiY <br />St:ate Cert. or Regist. I <br />City 'license Registration f <br />*************...........*.**.************* <br /> <br />SiPn::l1:ure <br /> <br />PLDtBER <br /> <br />'" '. CO!IPDY <br />, > ~,' ~ .J~'" '... St:ate Cert. or Regist:. , <br />. ~~.~,~. Ii. i9"'1~". ". ' City License Registration , <br />I ..". ". ~*i<_i...h;,*........."'.."'_...x..........*".....**.........*****...***** <br />: \ '::. <br />: ....... ,..., - \ ,'~ <br />: ..~f...... 1 ,; COlfPAlIY <br />, ~OIIt'U ... .;: . <br />"Y.... ~ ;,,~. St:ate Cert. or Regist:. I <br />~~.~,~ l ,,' ___ City License Registration I <br />""" <?Jl~""O s;,,-$'.a.**********-:t:*************'-'.2:******-f:******** <br />',t', 111/"""\\\\" <br />CD!l2ANY <br />St:ate Cer"::. or Regist:. I <br />CiL~ License Registration , <br />**.********.-t****************************** <br /> <br />Signature <br /> <br />KEClIAlUCAI. <br /> <br />Signature <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />