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<br />~ <br /> <br />APPLICATION FOR PERl/'IIT <br />CI'lY OF ZEl".fIYRIlILI..s <br />BUILDING DEPARTHRitl1T <br /> <br />O,",,"NER 'S NAME <br /> <br />. . <br /> <br />'. k/l$7 a$'e~"71lE"P/~#'.j t!EAJ7E;e <br />7'~ ~~a ~II.P <br />,:z:;,e-MjlR#I US--" ?~ <br /> <br />MinNIE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />( 5" A-Af~J <br /> <br />LEGAL DESCRIPTION: wr(S) <br /> <br />RLoeK <br /> <br />StmDH"ISION <br /> <br />PARCEL L D . # <br /> <br />,,"'URK PROPOSED:_l!iJew Construction --^<Idition _Alteration _Repair _Install <br /> <br />_Demolish V'" _SJ.1t t3f CANe. 'PI <br />/(4tJ/?/t;Af7?) &RdIlAl.P$ ..;e4l/~P/;'v €i <br /> <br />_Sign <br /> <br />_Hove <br /> <br />PROPOSED USE: <br /> <br />Single F3Ilily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_MIll <br /> <br />_CoImIercial <br /> <br />_IndUlst. <br /> <br />_Swim. rool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant & Health DepartDent Approval <br />.:241 X .;:;~ /, <br /> <br />Square Fee t, <br /> <br />7t/t'J '/--- li~ igh t <br /> <br />RESIDENTIAL: <br />COKHERCIAL : <br /> <br />ATTACIT (2) PLOT PLANs, & (2) SETS OF n~DING rLA~S & (1) SET ENERGY FO~S.** <br />ATIAC1l (3) SETS OF BUILDING PLAOOS & (1) SET ENERGY romls. ~~ <br />~~COPY OF COINTRACT RE'Q1IlIllUID. <br /> <br />PERmTS RF,QUP_'>TF.:n <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of-Total Constnlction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida PO\i"Cr COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECL\LTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fr<me _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIm~S: <br /> <br />FT. <br /> <br />IS PRO-TECT IN FLOOn ZONE ARR~? <br /> <br />YES NO <br /> <br />*~*~~~~~~~******************************** <br /> <br /> <br /> <br />R UII.nm <br /> <br />, ~ OOHI'A>IY Ii 0 7,E'Vt <br />~ St:ate Cert. or Regisl. 4# <br />Cil.'Y License Uegisr:ration ;I: <br />~. .......................................... <br /> <br />Signat:ure <br /> <br />F.T.F.CTRICIAN ClOOiPANY <br />State Cert:. or Regist. ## <br />SiRllat:ure Cit:}~ License Registration iJ <br />****************************************** <br /> <br />PUJlKRER CUIlfPM/IY <br />State Cert. or Regist. # <br />Signature City License Registration u <br />****************************************** <br /> <br />HP.CJTANI GAL COMPANY <br />State Gert. or RegisL 4# <br />Signature City License Registration ~ <br />*~***************************************~ <br /> <br />0TlTY.R CO}[PANY <br />State Cert. or Regist. * <br />Sienature City License Registration ill <br />****************************************** <br /> <br />APPLICATION APPRO\~D BY rF.:RKIT OFPICER. <br />