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<br />APPLICATIOllll fUR PERKIT <br />CIlT OF zmoullfH II.LCO <br />BUlI.DI.liG DEPARnmNr <br /> <br />OWNER · S RAIlE <br /> <br />f~ ,,/fie. <br /> <br />FIIOlIE <br /> <br />/)1/ /1 eA <br /> <br />OWRHR' S ADDRESS =? '? D J ~ {;" nJ 4 Y'<.- <br />-/ ~ <br />JOB ADDRESS J ~61.) e,.,J; 5f <br /> <br />LEGAL DESCRIPl'IOIIIJ: LOI'(5) <br /> <br />.,,- ,/ <br />~SU8DIVlSIOII t~,~/c"" '~rl /'A-A/<. <br /> <br />PARCRL I"D.' <br /> <br />WRIt. PROPOSED:_lIlIev Construct:ion _Addition _Alt:erat:ion _Repair _Inst:all <br /> <br /> S. _tIove _Deaolish <br /> - 19I1 <br />PROPOSED USE: ~ing1e Faaily _II/F -1-' of Uni.t:s ~ <br /> _ec-ercial _IOOust:. _Stria. Pool Ot:her <br /> <br />_.Restaurant: &- Health J)epa.rbent: Approval <br /> <br />BUILDING SIZE: <br /> <br />I2..XW, <br /> <br />~e Feet:. ,("'"" 7 " <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COItIIERCIAL : <br /> <br />A'lTAaI (2) PLOI' PLAIiS &- (2) SETS OF BUIl.DIIIG PUUlS &- (I) SET ElIERGY FORKS. *'It <br />A'lTAm (3) SETS OF BUII.DIliG PIAlIiS &- (I) SET EI!IERGY FORIIS.** <br />**COPl' OF OOIITRAcr .RIlQUIRED. <br /> <br />PIr.RKITS RmUESTED <br /> <br />----..BUILDING <br /> <br />$ <br /> <br />Valuat:ion of Tot:al Const:ruct:ion <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida PoIier Corp. <br /> <br />W.R.E.C. <br /> <br />--=::JIECllAlfICAL <br /> <br />$. <br /> <br />Valuation of llechanica1 Inst:allation <br /> <br />_PUJllBING <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF aJNSTRucnOR: _Block _Fraae _St:eel <br /> <br />~ <br /> <br />Ot:her <br /> <br />FINISHED FLOOR ELEVATIOIIIIS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZOIlE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BlnIJ1ER <br /> <br />aJIII'KACIOR. SECI'IOR <br /> <br />CDIPAIIY B..~!f/di!- PJ. f 1 .) <br />~ State Cert. or lie ist. . fI. lC 00= 311 <br />P. City License Regist:rat:ion , -Jr'""J <br />**** ************************************* <br /> <br />Signature (,J ~ <br /> <br />~ ~t/ 1---1 / CDIPAIIY <br />._ ..t;jtd~ ~':L~~=~i:"~~~t/I'-(Z <br /> <br /> <br /> <br />II ();C" St:at:e tect:. or Regist:. , <br />Sigoat::ure ~..< ~ CUy License Regist:rat:ion' d P <br />** *************...********************* <br /> <br />IIECIIAlIICAL aJIIPARY <br />St:at:e Cert:. or Regist:. , <br />Sigoat:ure City License Regist:rat:ion , <br />****************************************** <br /> <br />OT'RJI:R aJIIPAlIY <br />St:ate Cert:. or Regist:. , <br />Sigoat:ure City License Regist:ration , <br />*...*******************************...****** <br /> <br />APPLICATION APPIlOVED BY PERIIIT OFFICER. <br />