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<br />APPLICAnOli FOR PERllIT <br />CIlT OF 2.hn:tIKH IT.'-~ <br />BUIl.DllIG DEPAKIIIRIIr <br /> <br />_'S_ k #' ~ K - 7~J>-3~S-6 <br />_'S AOORe;s .~HYO a:1 4- *~ <br />JOB ADDRESS ~K'&> ~..5- <br /> <br />LEGAL DESCIUPl'I08: U1I(S)..!!t:Jb <br />1/1. -,2b-~- Ol&'~- (){'}t)tl~ - t/pi 0 <br /> <br />~SUBDIVISIOR <br /> <br />PARCEL I.D.' <br /> <br />tiORK PROPOSED:_lIev Construction ---J\ddition _Alteration _Repair _Install <br /> S' _Move _ne.olish <br /> - :LgD. <br />PROPOSED USE: Single F,.ily _ft/F _' of Unit:s Lft/H <br /> _ec-ercia1 _Indust. _Swill. P001 Other <br /> <br />_Rest:aurant &: Hea1t:h Departaent Approval. <br /> <br />BUILDING SIZE: :i t X f" J <br /> <br />/ t>IICJ <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COftIIERCIAL : <br /> <br />ArlACII (2) PLOI' PLA1IS &: (2) SEtS OF BUIlJJDiG PLAIIIS &: (1) SET EllERGY FORtIS... <br />ATI'ACR (3) SETS OF BUIlJJIIIC PIAIIIS &: (1) SKI' EIIERGY FORKS....... <br />..OOPY OF OONTKAcr RIlQUIRIID. <br /> <br />_BUILDING <br /> <br />PII:RIIT'IS REOUESTED <br /> <br />$ :J tJ tJ (Jd · t:J () Va1uation of Total. Construction <br />) <br />1St:> Aft.P Service V Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECTIUGAL <br /> <br />--.-..JtEClL\lUGAL <br /> <br />$ <br /> <br />Va1uation of ftechanica1 Inst:a1lation <br /> <br />_PLUimING GAS ROOFING SPECIALTY <br />TYPE OF OONSTRUCTIOII: _Bloc1t _FraIIe _Steel h;SJllF HOHlT Ot:her <br /> <br />FINISHED FLOOR ELEVAUOIIS: <br /> <br />FI' . <br /> <br />IS JIROJEcr IN FLOOD ZOO AREA? <br /> <br /> <br />~~,~.. <br /> <br />.................................................................................................. <br /> <br />RlJr~J)F.R <br /> <br /> <br />aJ!IP <br />State Cert:. Regist. I <br />City License Regist:.ration 'v <br />.................................................................................................................. <br /> <br />.- <br /> <br />Signature <br /> <br />/RT.F.crRICIAR <br />S' <br /> <br />PUIMRER. <br /> <br /> <br />amPAIIY DR IIJ N {?. 6Nj.fF~ 7/o~ <br />State Cert. or Regist. , E J? t)O 'fo ~ 2- <br />City License Regist:.ration', . S" <br />........................................................................................................... <br /> <br />~ =..~~ ~~&17 <br /> <br />City License Regist:.ration , I ~ <:; <br />...................................................................... <br /> <br />Signature <br /> <br />,IIECIIAIIIGAL OOIIPAIIY gff.~J.//I../I70~ /lr~ ~ .4/~ <br />I . 1I:t r fl ~A4/ S~te ~rt. or R~gist. .'tf4-R~f1~75 <br />S1gnature "/.I, C1f:y L1cense Reg1St:.rat1on , <br />{/ .............................................................................--............................... <br /> <br />OIIIF.R OOIIPARY <br />State Cert. or Regist. , <br />Signature City License Regist:.ration , <br />.................................................................................................................. <br /> <br />APPLICAnON APPROVED BY PERIIIT OFFICER.. <br />