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<br />APPLICATIOlNl FOR PERMIT <br />CI'IY OF ZEJ.IIIYRHILLS <br />BUILDDIG DEPARJ1IEKT <br /> <br />OWNER'S RAKE f(p u B YOn (" k '\ ( CJ..uY(h j PIIOD (sui 7AA -3~3D <br /> , ~, <br />. OWNER'S ADDRESS 3971,~ C fiCin c ey p. d. <br />JOB ADDRESS :3 q 7.3 5 Chancey Ad, <br /> <br />LEGAL DESCRIPl'ImI: I.Ol'(S) <br /> <br />BI.OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D . :f <br />WORK PROPOSED:_Nev Coost:ruction _Addition LAlteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_H/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Sw:t.. Pool <br /> <br />Chuvr ~ <br /> <br />Ot:her <br /> <br />_Restaurant &- Hea1t:h ~t: Approval <br /> <br />BUILDING SIZE: 7 .z X Y 2 , <br /> <br />1()2l.f <br /> <br />Square Feet, <br /> <br />Height <br /> <br />J RESIDENTIAL: <br />COttKERCIAL : <br /> <br />ATTACH (2) PLOI' PI.MiS &- (2) SEI'S OF BUILDING PUUilS &- (1) SEl" ENERGY FORKS. ** <br />ATI'ACII (3) SEI'S OF BUILDDiG PLUlS &: (1) SET ENERGY FORKS.** <br />**copy OF COI!iTRACT ~1ITRIID. <br /> <br />PERKITS RIDUESTED <br /> <br />-LBUILDING <br /> <br />$ <br /> <br />~. 0 11 t 00 <br />. <br /> <br />Valuation of Total Const:ruction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />__Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFIJlG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _F'raIIe _Steel <br /> <br />Ot:her <br /> <br />FllIISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT lli FLOOD ZOI!iE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUTT.DER <br /> <br />Signature {) (~~ <br /> <br />COJn'RACIOR ,SECTION <br /> <br />CDfIlPMWS-rahdal'"d Hotl-., 5e....v.-[e GOYf'- <br />~~ State Gert:. or Regist:.' S L c., 0 y I) 0 7 :2 <br />City License Registration' 5"" ~ <br />, **** *********************************** <br /> <br />ELECTRICIAN <br /> <br />CUltPMY <br />State Gert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />Silm;llture <br /> <br />PI.DlBER <br /> <br />Signature <br /> <br />CUltPAPJY <br />State ~rt. or Regist:. #1= <br />City License Registration :f <br />****************************************** <br /> <br />KECIIAlITCAL <br /> <br />Signature <br /> <br />CUltP/.JfY <br />State Gert:. or Regist:. I <br />City License Registration , <br />**********************~******************* <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />CUltPiRY__ <br />StaLe Gert. or Regist. , <br />City LiLG'~'~e Registration i <br />***********~****************************** <br /> <br />APPLICATION' APPROVED BY <br /> <br />'1!~~ 1 <br /> <br />. . ::if t7../) A'l\...J-- <br /> <br />PERKIT OFFICER. <br />