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<br />APPLICATION FOR PERKIT <br />GIlT OF ZEPIIYRBILLS <br />BOIIJ)llUG DEPAImIEIT <br /> <br />...-, - <br />/Or:-) <br /> <br />~S h,<;r, Ie <br />C:)/1~~'- ?;r~vt-~/ ('I :1 <br />(''"J;<)/I !3/>}C-Y <br /> <br />FROB <br /> <br />c/ ! .-, 060 /l" /) II <br />&>/ /,)7 --5..J-L-( <br /> <br />OWNER' S RAIlE <br /> <br />,/(;0 /") / () <br /> <br />OWNER' S ADDRESS <br /> <br />rT (~)()i<:,Tk <br /> <br />IX 7,6 / 0 1--- <br />, <br /> <br />.JOB ADDRESS <br /> <br />72({9 <br /> <br />LEGAL DESCRIPTlO1I: LOI'(S) <br /> <br />BI.OCI( <br /> <br />SDBDIVISIOII <br /> <br />-r;..~l') Ute 1</ sq <br />/ <br /> <br />PARCEL I.D.' <br /> <br />- <br /> <br />WORK PROPOSED:_5ev Construction _Addition _Alteration _Repair _Install <br /> <br />XSign <br /> <br />_lIIove <br /> <br />_>>e.Dlish <br /> <br />PROPOSED USE: <br /> <br />Single F_ily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/8 <br /> <br />~ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health ~t Approval <br /> <br />BUILDIIIG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKttERCIAL : <br /> <br />ATI'AaI (2) PLOI' PIAJlS &: (2) SEI'S OF BUIIJ)DfG PLAIIS &: (1) SEr ENERGY FORKS. ** <br />ATrAaI (3) SEI'S OF BUIIJ)IIJG PlANS &: (1) SEr EIIERGY FORKS.** <br />**OOPr OF OORTRACT :REQUIRIlD. <br /> <br />PERKlTS KEOUESTED <br /> <br />~UIIJ)UIG <br /> <br />$ 2 2_ <<::-; () ,,"-'0 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.-fIEaIAlilCAL <br /> <br />$ <br /> <br />Valuation of Kecbanica1 Inst:allation <br /> <br />_PUltBIlIG GAS KOOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OONSTRUCl'IO!I: _Block _Fra.e _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIOIiS: <br /> <br />FI' . <br /> <br />IS PROJECT III FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />RmT.DF.R <br /> <br />~~ SECI'IOIi <br /> <br />_ ///'/) /// al!lPMY U-J<:=~ 7 ct,j07!2P L S ((; (\) S t <br />/_/-==----~//~~~,.-.'::.-/ ,,// St:ate Cert. or Regi.st.' ~:<; ~::.:;C)() ;3' 7 <br />"'--- -'~---' ,- ,--'~ City License Registration , ,:J' ~1~ d / ~ <br />****************************************** <br />/ <br /> <br />S i.goature <br /> <br />Signature <br /> <br />al!lPABY <br />St:ate Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />F.I.F..cnuCIAR <br /> <br />al!lPARY <br />St:ate Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />PUJKBER <br /> <br />Signature <br /> <br />Signature <br /> <br />COlItPAWY <br />St:ate Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />KEalARICAL <br /> <br />al!lPANY <br />St:ate Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />0T1IF.R <br /> <br />S ignat:ure <br /> <br />APPLICATION APPROVFJ) BY <br /> <br />PEIIIIIT OFFICER. <br />