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<br />" <br /> <br />., <br /> <br />APPLICATXOW FOR PERHIT <br />. CI'IY 'OF Z.EPIIYRIllLLS <br />BtDTLDIHG DEPAR'IHRNT <br /> <br />/l} r ~. <br /><p. f'" o~(f I ,9~ <br />. f 104' - If / <br /> <br />OWNER'S ADDRESS <br /> <br />7<. Z- I <br />JOB ADDRESS ~ c:5 "I / <br /> <br />~1Z ~ tv-"~ U,b.LL <br />l!5ox 4Z0 ~LIN&71OrJ <br /> <br />/JVNTII\J~ r.cItJ pe <br />Gfl <br /> <br />PARCEL LD.I ~ - :J-~ -2/- /:2 - 0 - &9 / <br /> <br />troRK PROPOSED: ~ew Construction ~dition _Alteration _Repair <br /> <br />PiIONE <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />, <br /> <br />1// c;52EiCJ <br />L €;-Plierzy ;It LL..5 ~ <br />SunDIVISIO~ 51LIIE:12 oAJC~ <br /> <br />_Install <br /> <br />_Sign <br /> <br />_l!fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />~gle Faaily <br /> <br />_KIF <br /> <br />_* ot: Units <br /> <br />_MIll <br /> <br />_CoImercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />-----.-Restaurant &: llealt:h Depart:.ent Approval <br />BUILDING SIZE:!30 X Ef) , <br /> <br />Square Feet. <br /> <br />25' tV ~ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACII (2) PLOT PI..t\NS &: (2) SETS OF BUILDING PLAOOS &: (1) SET ENERGY FORMS. U <br />ATTACH (3) SI1TS OF BlJILDDilG PLA1'-JS &: (1) SET ENERGY FOIt."1S. ~~ <br />~~COPY OF CONTRACT REQm:RED. <br /> <br />PERKITS REOUF_c)TED <br /> <br />_ELECTRICAL <br /> <br />$.!'J4.,f;3-f- <br />ISO <br /> <br />Valuation ot: Total Construction <br /> <br />_BUILDING <br /> <br />AMP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation ot: Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br />~10Ck <br /> <br />RJOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Frase _Steel <br /> <br />Other <br /> <br />FlliISHED FLOOR ELEVATIOBS: I:f/,OFT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />/ <br /> <br />YES NO <br /> <br />~~~~~~~~~*~~~~~~~~~~~~~~**~~*~***~**~~**** <br /> <br /> <br />CD1'iJTRACTOR SECT'ION <br /> <br />~T- L'.ot2.-P <br /> <br />,crt er HE ;'st. -f. c.~ ~~~ <br />License Registration # <br />~*.**..*~*~~******~************* <br /> <br /> <br />cmfPANY ~. ~tl..lJG ~ <br /> <br />~lJi::L <br />at tJ ,r? k:b-- <br /> <br />5i <br /> <br />State Cert. or RegisL 1# <br />City License Registration f <br />~**~~~*****~~~*.~*~*~~~~~~**~*~********~** <br /> <br />PLlJKBER <br /> <br /> <br />~ <br /> <br />COHPANY lZ,;s:. \L \ 'j::1.. ,'/ <br />State Cert. or RegisL #f: <br />City License Registration <br />~~~****~******.***.*~***~*******~******~~* <br /> <br />Signature <br /> <br /> <br />i /I(? <br />~~C::-\\~~ -i L.b6L. <br /> <br />State Cert. or Regist. :f CAco ~3'1~..9 <br />City License Registration it -If 75' <br />~~**~****~~*..*.********~~*****.********** <br /> <br />Signature <br /> <br />KRCHANTCAL <br /> <br />cmtPMlIY <br /> <br />BA.~~ <br /> <br />COllPANY_ <br />State Cert. or Regist. i <br />Ci~ L~cense Registration , <br />~*****..**.*.*.******~**~*.*.*******~**.*~ <br /> <br />OTHER <br /> <br />Signa t:ure <br /> <br />APPLICATION APPROVED BY PE&1fIT OFFICER. <br /> <br />.3?n2 P <br />