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<br />ft /~ <br />-pp. (P!:J1"JF9] <br /> <br />PI)O~E 7' 73, '1;7'1/ <br /> <br />::::R::R3~~~;j~:~:~;;; Af:;J;;1;/ ;;~l?Y <br /> <br />LEGAL DESCRIPTION: LDT(S) /7'1 BLOCK SUBDIVISION! uJ(...1?~knJ'- 4J/JII/I/"- <br />PARCEL LD.' /t? -d(;-, 2J- OJ 20 - 00000 - //90 <br /> <br />APPLICATION FOR PEMIT <br />eI'IY OF ZE.'PIIYRlIILLS <br />BIHLDIIH1C DEPAR'IHE'RT <br /> <br />Ok"NRR 'S NAME <br /> <br />t:-/2 J' kl:r <br /> <br />fJ.9 q.(' J I.) /1- <br /> <br />k'ORK PROPOSED: ~W7 Construction _Addit.ion _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />_D~lish <br /> <br />PROPOSED USE: <br /> <br />~- <br />Single F3/IIily <br /> <br />_KIF <br /> <br />_' of Unit.s <br /> <br />_H/H <br /> <br />_C'..oaaercial <br /> <br />_Indust.. <br /> <br />_Swi.. Pool <br /> <br />Ot.her <br /> <br />_Restaurant. & Health Deparr:.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet.. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PI..ANS & (2) SEI'S OF BUILDING PlA.'l\lS Ii: (1) SET ENERGY FORMS. ** <br />ATTACH (J) SE.TS OF BUILDDDC PI..AHS & (1) SET F.NERGY F'OR~IS.~~ <br />-!o~COPY OF CONTRACT R.EX)ID'IRIID. <br /> <br />PEWfITS REOUP_STED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Constnlction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power COrp. <br /> <br />~ <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PUJPfBING <br /> <br />C'.., \S <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcr:rON: <br /> <br />_Block <br /> <br />-~ <br /> <br />_St.eel <br /> <br />Other <br /> <br />FTNISJIED FLOOR ELEVATImJS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE A~~? <br /> <br />YES <br /> <br />~- <br />NO <br /> <br />~~~~~~*.~***.~*.*.******~**~***********~~* <br /> <br />OlNTRACTOR SRC'T'IOIN <br /> <br />RUII.DY.R ) ~ COlHPMaY W. :ti MW#1(1/1/A./ <br />./ (1 State Cert. or Rcgist. 4# 0cJ'l,()?Zl( <br />5ic.nature /4- U ' ~ City License Registrat:ion;# 9 <br />*~*.****..*****..*.******* - *********~*** <br /> <br />5i <br /> <br /> <br />cmfPANY <br />State Cert. or RegisL #i <br />CiL~' License Registration f <br />***.*.***.**.....***..*******~* ********** <br />'r' <br /> <br /> <br />~ <br /> <br />/-', <br /> <br />PU"'RP.R () <br />/ " I II J:, <br />Signa Lure (j()Y/~~_1 ~/ 1cruv- <br /> <br />COIfPA.IH1Y <br />State Cert. or Regist. #i <br />Cit.y l"icense RegisrxaLioll f1 <br />********~******.*****.******************** <br /> <br /> <br />er-' <br /> <br />()' <br />#- (~w,J11 . <br />I ,d-. S- <br />. <br /> <br />Signature <br /> <br /> <br />e,fl~~ ,- <br />State Cert. or Re st." (,') <br />City License RegIstration ~ <br />*.**.*.***.**..****.***..***********~ <br /> <br />CO'!fPANY <br /> <br /> <br /> <br />ME'ClfAlflGAI. <br /> <br />0T1JER <br /> <br />/ <br /> <br />COlfPANY <br />State Cert. or Regist. #i <br />Ci~ Lic~~se Registration I <br />******..**....*...*..*******.*...********~ <br /> <br />Signature <br /> <br />APPLICATION APPRO\~D BY <br /> <br />PE&~IT OFFI,CER. . <br />