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<br />. ,,' <br /> <br />APYLT{:P_."'"XOINI YO:K PEJ.JtITT <br />CI'IY OF z..lJ'PIO'RIllI.LS <br />BUUJHJ!iG DEPAR'DiE:NT <br /> <br />/J (tfi Y)(g"73 <br />(-..'JI-J ./ i7 <br /> <br />OWNER'S RAKE <br /> <br />Z A- '" \(.IS <br /> <br />tJ H 1-<:::' t P ~ fA t) R" :~ ~ " :.'-: ~:PIIOH <br /> <br />~78Z-2Q/~ <br /> <br />. <br /> <br />-. <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS '3 g- ~ e r< IE S ~ i? JUJ' <br />LEGAL DESCRIPl'I08: I.OT(S) ~t:~ S. <br />PARCEL LD.' O~ -d6. - ri!./ -Oodo - 00300 - 00/0 <br />WORK PROPOSED: lSlew Construct~on _Addition _Alteration <br /> <br /> <br />ZEDH RH(I-~ <br /> <br />/ <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of llInits <br /> <br />_M/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swi..-. Pool <br /> <br />Other <br /> <br />_Rest:.aurant &: Hea1t::h Depart:aent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT l'I..MiS &: (2) SEIS OF BlJJII.DUlfG PIJUilS &: (1) SEt' ENERGY FORKS. ** <br />ATTACH (3) SETS OF BUlI.DDlG l'I..MiS &: (1) SEt' ENERGY FORKS. ** <br />**COFY OF COwrRAGr REQUllBED. <br /> <br />_BUILDING <br /> <br />$1/ q <br /> <br />PERlIfITS REQUESTED <br />f5 0 {' tJ 0 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 />s <br /> <br />_Valuation of lIfecbanica.l Installation <br /> <br />_PUJMBING GAS __ROOFING <br /> <br />SPECTALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fra.e __Steel <br /> <br />Other <br /> <br />FllfiSHED FLOOR EI...EVATIONS :__FI' . <br /> <br />IS PRO.JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************..*..**.****************** <br /> <br />BUILDER <br />Signature ~ IJ <br />(/ <br /> <br />COln'RACIOR SECTION <br /> <br />mlfPAHY ~ Ji ,lCi <br />~1 State Cert. or Regist. , <br />City License Registration <br />***.****.*.*~**.**.*****.***************** <br /> <br /> <br />ELECTRICIAN <br /> <br />CO!tPMY <br />State Cert. or Regist. , <br />City License Registration f <br />*****.****..**.******...****************** <br /> <br />.~' <br /> <br />Sismature <br /> <br />PLUKBER. <br /> <br />cmlPAlSlY <br />State Cert. or Regist. , <br />City License Registration I <br />..**....***.*.*.*...*.**.****.***.******** <br /> <br />Signature <br /> <br />KEGlJARICAL mlfPMY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />*********ft**.*..**.*****.***************** <br /> <br />0'I1IER COIIPANY <br />State Cert. or Regist. , <br />Signature, City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />