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<br />APPLICATION FUR PHRIIIT <br />CIlY OF ZltPUIKH 11.1-5 <br />BUII.DIIiG DEPAR1IUJ'.WT <br /> <br />_'S - \.~D\J\~ \:&x-~'-- <br />OWliER'S ADDRESS ~ S'Cf-Y-Q tnc <br /> <br />FIIOIIE <br /> <br />t~S - ~4- ,4- <br /> <br />JOB ADDRESS <br /> <br />---sa~ <br /> <br />LEGAL DF.SCIU.PTlOIIII: IDI'(S) <br /> <br />BI.OCK \ ~, SUBDIVISIOII <br /> <br />PARCKL I..D.' <br />IiURK PROPOSED:_Nev Cons1:ruc1:ion _Addit.ion _Alt.era1:ion K.Repair _Inst:a11 <br /> <br />S. <br />- J..gIl <br /> <br />_Move <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />Single FaUly <br /> <br />_"IF <br /> <br />_' of Unit.s <br /> <br />_"IH <br /> <br />_~rcia1 <br /> <br />_Indust.. <br /> <br />_5'"--. Pool <br /> <br />Ot:her <br /> <br />_.Rest.auran1: 5: H~~ Depar~1: Approva1 <br />BUILDING SIZE:;J8 x~. ~ laD ~e Fee1:. <br /> <br />Height. <br /> <br />RESIDERTIAL: <br />GOftIUl:RCIAL : <br /> <br />AtTACH (2) PLOI' PLAIIS 5: (2) SEIS OF BUI1DIIIG PLAIIS 5: (I) SET EllERGY FORtIS... <br />ATI'ACII (3) SEI'S OF BUI1DIKG PIARS 5: (I) SKI' ElIERGY FOIUIS... <br />..OOPl' OF OOlll'RAGr 1UlQDIIUlD. <br /> <br />PllmlITS REOUESTED <br /> <br />~ BUILDING <br /> <br />$. <br /> <br />5cv~~ <br /> <br />Va1ua1:ion of Tot:a1 Cons1:ruc1:ion <br /> <br />_ELECTIUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />V..R.E.C. <br /> <br />_IIECIIAIUCAL <br /> <br />$. <br /> <br />Va1ua1:ion of "echanica1 Installat.ion <br /> <br />_PLmmIRG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OORST.RUC'J'IOIl: _Block _Fr8lle _St.eel <br /> <br />Ot:her <br /> <br />FIIIISHED FLOO.R ELlWATIOIIS: <br /> <br />fT. <br /> <br />IS PROJIl:Gr IN FLOOD ZOIlE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />aJlII1IACIOIl SECI'IOR <br /> <br />BIJII.DF.R (DIpAIIY ~ ~ O~ <br />/ <br />~~~~~ State Cert. or Ilegist. . <br />Si..goa1:ttr' ,:.--:;;. ~ . rT" ~ City License .Regist:ra1:ion . <br />----- .......................................... <br /> <br />I, <br /> <br />RI.fl.:CTRTCIAR CDIIPAIIY <br />St.a1:e Cer1:. or .RegiS1:. . <br />SiPnAt.ure City License .RegiS1:ra1:ion . <br />.......................................... <br /> <br />PI.JJllRER COIIPAIIY <br />St.at.e Cer1:. or .Regis1:. , <br />Signature Cit.:y License .RegiS1:ra1:ion . <br />.......................................... <br /> <br />IlECBAllICAL aJ!IPAIIY <br />St.a1:e Cer1:. or .Regist. . <br />Signat:ure Cit.:y License .Regist:ra1:ion . <br />.......................................... <br /> <br />01'Hfl.:R (DIpAllY <br />St.at.e Cer1:. or .Regis1:. . <br />Signature Cit.:y License Regist:ra1:ion . <br />.......................................... <br /> <br />APPLICATIOII APJIKOVED BY PERIIIT OFFICER. <br />