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<br />APPLICATION FOR PERHIT <br />CITY OF Z.EJl'IIYRBILLS <br />BUllDlliG DEPARntEooT <br /> <br />OWNER" S <br /> <br />MAKE B .S.I3e&', M,v, SJ,wvtA- i' ,f!x.J,(/D.N.D/7.<. q <br />, K0wcuJ-.S. 13 EJ)7.. D.M1Q ~ <br />ADDRESS .~~ 43 ~ Nc)'ytf/\ ~.' 2-en~,,<, "'''I'''' ,Lt . <br />I I <br /> <br />mONE <br /> <br />7~-$)1 ~ <br /> <br />OWBER · S <br /> <br />fA <br /> <br />JOB ADDRESS <br /> <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISIOIi <br /> <br />PARCEL LD.I O~ - :2-6-d-l ---00 (0 - \1."2. 00 - 00'30 . <br />l<<lRK PROPOSED:.-LJKfew Construction _Addition _Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: Single Faaily <br />Lec:-ercial <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_Indust. <br /> <br />_SwI... Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Deparblent Approval <br /> <br />BUILDING SIZE: /:lc X "IS-. ~'55V'~ <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />CC>>tKERCIAL : <br /> <br />A'ITACH (2) PLOT PUUilS &: (2) SEIS OF BUILDlliG PLUS &: (1) SEI' ENERGY FORMS. ** <br />A'ITACH (3) SETS OF BUllDDilG PUUilS &: 0) SET ErrmRGY. FORKS. u <br />...-t:COPY OF C:Ol!fTRACT REQUllUID. <br /> <br />.. <br /> <br /> <br />~UILDING <br />I <br />~ELECTRICAL <br />/ <br />~CAL <br /> <br />/ PLUMBING <br /> <br />PEHJI[['IS REQUESTED <br /> <br />- <br />$ ;j () OJ ()Cft ~ Valuation of Total Construction <br /> <br />j OOO~ .J& Service V' Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />/5; 1:68 <br /> <br />Valuation of Mechanical IDs,tallation <br /> <br />GAS <br />~lock <br /> <br />ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_FraIIe <br /> <br />_Steel <br /> <br />Other <br /> <br />YES <br /> <br />-L <br />NO <br /> <br />FllfiSBED FLOOR ELEVATIONS: I/')O FT. <br />. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.....................-t:-t:....-t:-t:*......*............-t:.....................-t:.................. <br /> <br />COnKACIOR SECTION <br /> <br />BIDI.DER <br /> <br /> <br />------'-1 " <br /> <br /> <br />CDlfPANY Sa.1vI(/UIt1 ~ - B't D"j. <br />State Cert. or Regist. , C 13(, O;;Z oCfQ3 <br />City License Registration' 3' go <br />-t:......-t:................-t:......-t:...*****-t:** <br /> <br />Signature <br /> <br />SiP11ature <br /> <br />~ OOIIPAHY '^ e. E ~c +v l..C <br />~ c\.:-.... J State Cert. or Regist.:/# C1YJ c.. <br />~~ City License Registration I <br />u*u-t:...*-t:-t:.........-t:~*.......-t:.**....-t:......-t:............*-t:-t: <br /> <br /> <br />ELECTRICIAN <br /> <br /> <br />DAVYt> "ATTD!: <br />tIeetz1eaJ/M" i,'I: ~mtroct... <br />u: 7118-4001 <br /> <br />PLUKBER ~~ CDlfPAHY &:1jOYle1- PlLL1'Vt~J ~C. <br />State Cert. or Regist. 1# ,-/:2 '191 <br />Signature .... .. City License Registration I Gi / <br />"'" .**-t:*-t:*-t:.*-t:.-t:**-t:..***.*...**..-t:-t:**-t:*.***** 7 f <br /> <br />':pd-{-+~~ ~/~v~c <br /> <br />State Cert. or Regist.' f5.c.: (')Qo 11-b ij <br />City License Registration t II tj'.!f,- <br />*...*....*.-t:*.-t:-t:*******-t:**-t:.....*-t:.-t:....**.**......* <br /> <br />III!mAlIICAL ~ _ <br />Signature. C~ <br /> <br />C'.OifFMI <br /> <br />OTHER <br /> <br />~-=- <br /> <br />OO1fPMW ~~~ ~L I~ <br />State Cert. ~r Regist. " ~""''''~4B <br />City License Registration , <br />*.*-t:.-t:........-t:*...*....-t:-t:.....-t:.-t:*............*.-t:-t:. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT om CRR. <br />