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<br />I <br /> <br />APPLICATION FOR PEm-IIT <br />CI:'IY OF ZE.'PJlYRIITLr..s <br />BtJJI:I.DING DRPAR'Im-r.1HiT <br /> <br />O~WER'S BAllE ~",J.;" s.~~ ",. moo" 'f; /7 -:!icfJ-J.5VV <br /> <br />OWNER'S AnDe ~o:T; r~~ ~~~ FT.~~I~~02 <br />JOB ADDRESS /I?u~t/I_~ _~ ~__ _ ;llf.___y,~ g~ -~_~_I _ 775)// <br />LEGAL DESCRIPTION: Lar(S) BT~ SUBDIVISION <br /> <br />PARCEL LD.#: <br /> <br />"lJRK PROPOSED :_!1i.'ew Construction <br /> <br />_Addition <br /> <br />~teration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_~Iove <br /> <br />_Demolish <br /> <br />PROPOSED USE: Single Falllily <br />~ercial <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_MIll <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACII (2) PLOT PI...i\Ns & (2) SEIS OF llu;rLDING PI,ANlS & (1) SET ENERGY FORMS. U <br />A'ITACll (3) SE.TS OF BUII.DING PLANS & (1) SET ENERGY FORl.'IS. ~~ <br />~~COPY OF CONTRACT RE:QIDlUID. <br /> <br />Pfr.IDflTS REQIW_')TED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of-Total Constnlction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida PO\<'Cr COrp. <br /> <br />W.R.E.C. <br /> <br />_HEClIANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECL\LTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frcme _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIm~S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARR~? <br /> <br />YES NO <br /> <br />*~*~~~***~********************~****~~~**~* <br /> <br />nUly,DY.R <br /> <br />!li1~ cmwAm (; d" /tJ <br />' '" <br />St:ate Cert. or Regist. 1# ~ <::: <br />City License }{egist:ration ;j: <br />***~*******************~************** <br /> <br /> <br />Signature <br /> <br />ET.ECTRICTAN' ~ CO'!iPANY <br />///1 ~/_/ L/' ~_.// ~ Stat,e Ccrt:. or Rcgist. ffi <br />Si1tT1atur~_~ ~ /!.. _ ~~~, City License Registration J) <br />** *************.*******~****~**~****** <br /> <br />/ .'73 <br /> <br />PUJKBER cnHPANY <br />State Cert:. or Regist. m <br />Signature City License Registration ~ <br />**************r*x********~*********~~****~ <br /> <br />HP',CITANTCAL COHPANY <br />Stat'", ("ert, or Regist. 4# <br />Signature City License Rcgistrat:ion ~ <br />*****************************************~ <br /> <br />01"JTY.R COHPANY <br />State Cert. or Regist. # <br />Signature City License Registx-ation 1/1 <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />