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<br />APPLICAnOB fUR PERllIT <br />CIn OF ZII:nIIKHILI.S <br />BUII.DllIG DEPAR'IIIEIIT <br /> <br />OWNER I S RAIlE <br /> <br />r It" 5 -I <br /> <br />C h I.J VI 4 <br />if 1'-1 <br /> <br />~r <br /> <br />C hr/, r <br /> <br />PIIOIIE <br /> <br />1?;l-22b'tj <br />F/t <br />r/. <br /> <br />OWRER I S ADDRESS 12f if J ~ <br />- <br /> <br />JOB ADDRESS J?f;J J If <(' j t; <br /> <br />Ai/I!-- <br /> <br />2 -e ~ h r"'l/~ '1/<; <br />Z cPt; yJ/ f-J l //5 <br /> <br />lIut.. <br /> <br />LEGAL DESCIUPI'IOIII: lOI(S) <br />PARCEL 1,:0.# J/- 2 t'-2/ - (JrJ//J <br /> <br />WORK PROPOSED:_Bev Coost:ruct:ion ~t:ion _Alterat:ion _Repair ~Install <br /> <br />S' <br />- 19B <br /> <br />_lIove <br /> <br />_~lish <br /> <br />PROPOSED USE: <br /> <br />Sing1e Fam.ly <br /> <br />_fl/F <br /> <br />_' of Unit:s <br /> <br />----1f./H <br /> <br />_~rcial <br /> <br />_Indust:. <br /> <br />_Swill. Pool <br /> <br />Ot:her <br /> <br />_Rest:aurant: &: Hea1t:h Depar~t: Approval <br /> <br />BUILDIIIG SIZE: <br /> <br />x <br /> <br />~e Feet:. <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />COHItERCIAL : <br /> <br />A1TAm (2) PI.OI' PLAIIS &: (2) SEIS OF BUIlJJIBG PLAIIS &: (1) SEt' ERERGY FORKS....... <br />ATrAm (3) SEI'S OF BUII.DIBG PIAIIS &: (1) SEt' EIIERGY ~....... <br />....ropy OF roIrrRACI' RIlQlD'IIUI:D. <br /> <br />PIr.RIfITS REOUESTED <br /> <br />_BUILDIIIG <br /> <br />$ 1/)"/ '1t7.lJd <br /> <br />Valuat:ion of Total Const:ruct:ion <br /> <br />_ELECl'RlGAL <br /> <br />Aff.P Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />,/ <br /> <br />---1fEGIWUGAL <br /> <br />$. <br /> <br />ValuaUon of ff.echanica1 Inst:a1lat:ion <br /> <br />_PLUttBIIIG <br /> <br />GAS <br /> <br />X ROOFIIiG <br />, <br /> <br />SPECIALTY <br /> <br />TYPE OF oollsmucnON: _Block _F~ _St:eel <br /> <br />Ot:her <br /> <br />FIIIISHED FLOOR ELEVAnOllS: <br /> <br />FI' . <br /> <br />IS PROJEct IIi FLOOD ZOIlE AREA? <br /> <br />YES 110 <br /> <br />...................................................... <br /> <br />aJIIIRACIOR SECI'IOII <br /> <br />BUTT J)O <br /> <br />aJ!IPAIiY <br />St:at:e Cert:. or Regist:. , <br />CUy License Regist:.rat:ion , <br />.................................................. <br /> <br />Sigoat:ure <br /> <br />RI.F.r.TRTCIAII <br /> <br />aJIIPAIIY <br />St:at:e Gert:. or ~gist:. # <br />Cit:y License Regist:.rat:ion , <br />.......................................... <br /> <br />S1 IPIUllture <br /> <br />Pl.DIIRO <br /> <br />lDIPAIiY <br />St:at:e Gert:. or Regist:. I <br />Cit:y License Regist:.rat:ion # <br />.......................................... <br /> <br />Signat:ure <br /> <br />Sigoat:ure <br /> <br />OOIIPAIIY ~ )'~I ~~_~-t~. <br />St:at:e Gert:. or Regist:.--'-- <br />Cit:y License Regist:.rat:ion # ~ 8 <br />.......................................... <br /> <br />flECBARIGAL <br /> <br />OTIIF.R <br /> <br />" . lDIPAIIY K Y /VI d..4/ C dFJ) ,-r. <br />~#-Ib:. ,.. '. ~ State eert: or Regist:. , <br />-- <br />v. -..,.~, Cit:y License Regist:.rat:iQO # <br />'............................................ <br /> <br />!rJ( <br /> <br />Signat:ure <br /> <br />APPLICATIOII APPROVED BY <br /> <br />~ PERff.IT OFFICER. <br />