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<br />& l......IG&TIOJl FOP p,E'RhI'r <br />CI'.!Y OF ZIlPIIYBi,-'It.L'S <br />BUU~:rJII/G D:ih::>>AJr\JiJU'!' <br /> <br />OWNER'S, NAME~ LiDS e-t\ ~ob.&ker-- <br />OWNER'S ADDRESS ~ <br />loOY:~ Zf'~~r 'ftlclcye__ )), <br /> <br />PIIOIiIE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.I _~~cX, -d-\ - O\?D - COO .W - Obi. Q <br /> <br />WORK PROPOSED:-Ll8lev Construction _Addition. _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />"'-/sing1e Faaily <br /> <br />_KIF <br /> <br />_, 0:[ Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Restaurant " nea1t:h nepan:.ent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />_ RESIDENTIAL: <br />COHKERCIAL : <br /> <br />AttACH (2) PLOI' PLUS " (2) SEI'S OF BUILDING PLUS" (1) SET EHERGY FORKS.** <br />A1TACB (3) SEI'S OF BUII.nlllG PLMIS ~ (1) SET mmRGY FORKS. ** <br />**copy OF COIfTRACT RIlQm:RED.. <br /> <br />PERIPIITS REOm~Tlm <br /> <br />~UILDTNG <br /> <br />$ 15CO.oO <br />, <br /> <br />Va1uation 0:[ Total Construction <br /> <br />_ELECTRICAL <br /> <br />A!IP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECIIAIilCAL <br /> <br />$ <br /> <br />Va1uation 0:[ Kechanica1 Installation <br /> <br />_PLUKBIliG <br /> <br />GAS <br /> <br />ROOFllIG <br /> <br />SPECIALTY <br />(lnf\i.(lre....+-e--- Other <br /> <br />TYPE OF CONSTRUCTION: _Block. _~ _Steel <br /> <br />FllIISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS P.RO.JECT H' FLOOD ZOHE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />~croR SECTION <br /> <br />CO!IPOV --g+ l+ n\.C\fLi 1'\\"1../ +ee~'\ e ~"\\- \ \\C . <br />....! l Ii I State Cert. or Regis':. IR}(O()I~7u,1Y. <br />~~~O~ City Lice1l1Se Registration I t.{LJ <br />r ****************************************** <br /> <br />Signature <br /> <br />Simlature <br /> <br />CO!IPA,WfI' <br />State (;';!lCl:. or Regist. 'I <br />City License Registration f <br />************************~~**************** <br /> <br />ELECTRICIAN <br /> <br />\ ~ <br />". , ., <br /> <br />CO!IPARY <br />StQ~e Oert. or Regist. I <br />CiT.1 Licr~e RegistIation f <br />**********~*~**********~~***************** <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />0T1IF.R <br /> <br />COl!!'PlfJff <br />~' "~~.j:J . <br />{l~t1:' " Si:ate Cert:. or Regist." 'h <br />~;m: ~. ~ ' City Lict!llSe Regi~C;l'.{I,.lfion j . <br />"; "'" 0. ***********.....****1l-***.... .~**il:*******..*fr~~~.. ~ I \it : <br />..~,.;.::/ HL .' " ' ~ l:,;aT~~ ~'t. ; <br />1'1") . --' '. '. ..... .,... I <br />.. < ~,'~ COIIPOY_' -::(.);"'."'1';8 ... ,,' <br />,I State Gerl:. or R~#,JJ"." <br />____ Ci~ License Regis~~l~,# <br />*********,*,""" .,..""**...****'><**...******1l-********** <br /> <br />KECBANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />