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<br />APPLIGATION FOR PERHIT <br />CITY OF z.E:P!innuLLS <br />BUILDIBG DEPARJKE'NJT <br /> <br />1-I!lIU2'{ l?~r,tJ--f/ PlIO"". ~5..,,;:lfZ <br />OWNER'S ADDRPSS ~ f:;.c<- 2Lt/o (rtf/y Jy{~~;2t?) <br />JOB ADDRESS L _ _C:-~ttc & vo , <br /> <br />OWNER'S BAKE <br /> <br />LEGAL DESCRIPTIOB: LOT(S) <br /> <br />BLOCK <br /> <br />SlJJBDIVISIOINI <br /> <br />PARCEL LD.:f <br /> <br />WORK PROPOSED :_lNiew Construction _Addition _Alteration _Rep."lir _Install <br />VSign <br /> <br />_!!love <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of lJInits <br /> <br />_K./H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Ot:her <br /> <br />_Restaurant &: Hea1t:h Deparblent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COttHERCIAL : <br /> <br />ATTACH (2) PLOI' PI..OS &: (2) SEl'S OF BlITLDIlNiG PLAINIS &: (1) SET ENERGY FORKS. ** <br />ATTACH (3) SETS OF BUILDlli1G PI..OS &: (1) SET ElfflRGY FORKS. ** <br />**COPY OF COINITRACT RlrQmrBED. <br /> <br />PElmITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total. Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHAlUCAL <br /> <br />$ <br /> <br />Va1ua~iun ()f Mechanical Install ation <br /> <br />_PLlJK.BING <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: _Block <br /> <br />_Frcmle _Steel <br /> <br />Other <br /> <br />FIl'iISBED FLOOR .ELEVATIO~S: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />,CUINITRACI'OR SECTION <br /> <br />BUILDER COI!tPMIIY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />******,~******,' :I:**-lIc-llc*-lIc****-lIc*********-lIc**-lIc*** <br /> <br />ELECTRICIAN 01lfPANY <br />State Cert. or Regist. , <br />Sienature City License Registration f <br />*****-lIc*-lIc***~*************-lIc-llc*-lIc*-lIc****-lIc*-lIc-llc-llc** <br /> <br />PWHBER cmlPABY <br />State Cert. or Regist. , <br />Signature City License Registration I <br />****-lIc*-lIc*-lIc-llc*-lIc-llc*-lIc-llc-llc-llc-llc-llc-llc**-lIc***-lIc*-lIc-llc-llc**-lIc-llc**iIc*iIc* <br /> <br />KRCllAHICAL GOMPMfi <br />State Cert. or Regist. I <br />Signature City License Registration I <br />***********-lIc*-lIc-llc*****-lIc-llc*iIc**iIc-llc-llc***iIc*iIc*iIc-llc*-lIc-llcilc <br /> <br />0I1!RR OOHPAN'l, <br />S taJ:e C;ert. or Regis t:. , <br />Signature City License Regis~rat:ion f <br />***-lIc*-lIc***-lIc***-lIcilc*****iIc***-lIc-llc-llc-llc**iIc-llc-llc*-lIc**iIcilc-llc-llc-llc <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />