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<br />APPLICATIOIll FOR PERllIT <br />CI'IY OF ~IKHIT.LC; <br />BUIIJUIIG DEPAImIRIn' <br /> <br />OWRER'S IWtE h?!NI( ;1 pc.! \7t?At0 i)1/,AXJ,t"'!p/A-fiJ <br />, V <br />OWIIER'S ADDRESS /'/(5 Y Nor-I" /.6"~ r>'//tPC?-f- <br />, , <br /> <br />.JOB ADDRESS 61//1'/ €~ <br /> <br />LEGAL DESCRUTIOII: IDI'(S) /0"" ~SDBDIVISIO. ~/-X' /1/// Jq J <.(~ 'v /~iV~ <br />Lt N / T 6".J e'.-. <br />PARCEL I:.-D..6)\ - ~Lo - 0::1 - Ot SZ. () - C1:)(), (=>(::) -- n--r5<< () <br /> <br />1iUKK PROPOSED:_lIew Construction --,J:.-Addition _Alteration ---.Jlepair _Inst:all <br /> <br />PBOIIE 7RG7 -- 9~ IJ <br />, <br /> <br />2egj/ IfP,i//~.,;C/ YcJuV z, <br />r' / <br /> <br />S. <br />- J.gIl <br /> <br />_lIove <br /> <br />-)C.>>e.olish <br /> <br />PROPOSED USE: }LSingle Fam.1y <br /> <br />_KIF <br /> <br />_, of Unil:s <br /> <br />_K/B <br /> <br />_~rcia1 <br /> <br />_Indust:. _Stria. P001 <br /> <br />Ot:her <br /> <br />~t:aurant & Hea1t:h Depart:aent Approva1 <br />/ ~ <br />BUILDING SIZE: ff X ~L3. d, Y J- ~e Feet. <br /> <br />/ 2- " cy h <br /> <br />Height <br /> <br />RESIDENTIAL: "'--A1TAaI (2) PIDI' PLAIIS & (2) SEIS OF BUILDDIG PI..ARS & (1) SEI' ENERGY FORIIS..... <br />mMlUtRCIAL: ATrAaI (3) SEIS OF BUII.DDIG PIAJlIS & (1) SET ElIERGY IlURIIS..... <br />....001'1' OF OOIlTKACl lUlQUIlUID. <br /> <br />~UILDING <br />~ELECJ'RICAL <br /> <br />$ <br /> <br />PERIf11S RIDIJR.C;Tm <br />J Of 6 'Y? ( (3 Z5 Va1aation of Tot:al Construction <br /> <br />.AIIJ' Se:r:vice <br /> <br />X Florida PoIier Corp. <br />. <br /> <br />W.R.E.C. <br /> <br />~CAL <br /> <br />$ <br /> <br />Va1aation of tlechanica1 Inst:a1.lation <br /> <br />~ING GAS ...-- :ROOFIIIG <br />TYPE OF OONSTlWC'I'IOlI: -,LBloclt _Fra.e _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOIfS: FT. r/ IS PRO.JEcr III FLOOD ZOIlE AREA? <br />..s,4Me. f/~~~ 7/A:;>V YES NO <br />................................................................................ <br /> <br />COlII'KACIOR SECl'IOB <br /> <br />/ tfi 0 <br />RlfTIDF.R W!lPAIIY ;", fs , /7r:? 0" fii~ <br />Sigoat:ure 4.'4, /n7t!4 ~=eL~o;e==~;:n, ;;;;/ " v <br /> <br />.............................................................................. <br /> <br />) \_~ <br />RT.F.CTRTCIAN W!lPAIIY ~~/~~/ ~ <br />4) / / '\ ~ -:y" St:ate Cert:. or Regist. ' <br />siPII::ature,?~./~/~ Z ~/.../ . City License Registration' g <br />.. .................................................................. <br /> <br />PT.DIRF.R ~ W!lPAIIY l AAR~ Uf\-hA"J. rUjM(Sit-.J~ <br />~~ St:al:e Cert. or Regist:.' IR~ ()(,\~f"\ ~ 9. '1 <br />Signat:ure '. t9~ ~ -. City License Registration . l ':l.. '" <br />(~ .... ...... ............................................................ <br /> <br />Ill!aWlICAL lDIPAn ;{; L!5 ~ C<vv V,~ <br />St:ate Cert. or Regist. . &tP,'?)c;/:<.. <br />Signature ~ City License Registration . 7 I <br />....................................................................... <br /> <br />mR1!II fDfpMY~/l,i?lIJfL '~PF ~~ <br />St:ate Cert. or Regist:. , ~ <br />Signat:ure City License Registration , <br />................................................................................. <br /> <br />, t' , <br />~L/ <br /> <br /> <br />APPLICAnON ~ BY <br /> <br />. :j' <br /> <br />PERIII1' OFFICER. <br />