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<br />" <br />APPLicinOli fOR PERllIT <br />CIlY OF Zm'8IKH I U_C; <br />BUIlDIlIG DEPAImIEIIT <br /> <br />OVlIER'S IWIE /(d f 5 0/ E. jl/ e. f: r!. 2/i /;; /J E/v 12/9 kt PIfOflE <br /> <br />O1iJIER'S ADDRESS vO 4/ Y -cl <::.J-.. <br />- ~ _. c> --t-( r; 1- ' / <br />JOB ADDRFSS ~ '/ U rY./' -r- J / I;;" " ~ - w~/e;f' <br /> <br />'7J'J- /7:-<?'S'- <br /> <br />LEGAL DFSCRIPl'IOIIIl: wr(S) <br /> <br />~SOBDIVISIOII <br /> <br />PARCEL I.D.' / / ~ d 6 - ~/ - 00/ CJ ~ J 9.3 c'? D.- <5/3 U <br /> <br />1iORK PROPOSED:_lIIev Construction ----.JWdition _Alteration _Repair _Inst:a1l <br /> <br />S' <br />- 19I1 <br /> <br />_lIove <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />Single F_ily <br /> <br />_II/F <br /> <br />_' of Unit:s <br /> <br />_II/B <br /> <br />_ec-ercia1 <br /> <br />_Indust. _S~. P001 <br /> <br />Ot:her <br /> <br />R~St:aurant & Hea1t:h Depart:aent Approval <br /> <br />BUILDIJlG SIZE: <br /> <br />x <br /> <br />~ Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />aJItIIERCIAL : <br /> <br />AtTACH (2) PLOI' PlAIIS . (2) SEIS OF BUILDDIG PIAIIS . (1) SKI' ElIERGY FORKS..'" <br />ATrACH (3) SEI'S OF BDD.DllIG PIAIIIS . (1) SKI' EIIERGY FORIIS....... <br />......oopy OF OORDAct lUlQUIRIID. <br /> <br />PJr.IUfT1"S IdtoOESTED <br /> <br />.-BUILDING <br /> <br />$ <br /> <br />Valuation of Tot:a1 Const:ruction <br /> <br />F.T.RCl'RICAL <br /> <br />AItP Service <br /> <br />Florida PoiiIer Corp. <br /> <br />W.R.E.C. <br /> <br />----1IECllANICAL <br /> <br />$. <br /> <br />Valuation of ltecbanica1. Inst:a11ation <br /> <br />---.J'LuttBIJIG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF ooJlSTRUCl'IOIl: _Block _~ _Steel <br /> <br />Ot:her <br /> <br />FInSBED FLOOR ELEVAUOIIS: <br /> <br />Fr. <br /> <br />IS PROJEct III FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.............................................................................................................................. <br /> <br />BmTDRR <br /> <br />allIDIACIOR SECl'IOII <br /> <br />-H 0.,... cOw........ c r lDIPBY <br /> <br />~ A . .-;?~C:::>/ ^ Sl:ate Cert. or Regist. I <br />70-- ~ ( ~ City License Regisl:nltion . <br />............ ......................................................................................................... <br /> <br />Signature <br /> <br />F.T .Jl'..crRI.CIAN <br />SiPQAture.. /'~~~~~) <br /> <br />aJIIPAIIY /--=- e c... <br />_~; )'?' St:ate Cert. or Regist. . EfO'b~~h /7'6" <br />-;f~ t::/~~ City License RegiSl:nltioo . -J ~:) <br />.............................................................................................................................. <br /> <br />PI .lIIIR.JI:R <br /> <br />r\ aJIIPAIIY TY) ~ ~ p~ <br />~~. . ' State Cert. or Re ist. . ~ Sf ; v I <br />.. ...~ h\~ City License Regist:ration f ~ , . <br />............ ............................................................................................................... <br /> <br />Signature <br /> <br />Signature <br /> <br />al <br /> <br />L/ <br /> <br />~R. <br /> <br />State Cert. or Reg1st.' C!)" <br />City License RegiSl:nltion . A <br />.............................................................................................................................. <br /> <br />aJIIPAIIY <br /> <br /> <br /> <br />IlEalAllICAL <br /> <br />0'I'1IRR lDIPAIIY <br />Sl:ate Cert. or Regist. . <br />Signature City License Registration . <br />.............................................................................................................................. <br /> <br />APPLICAnOJl APJ.IROVED BY PERIIIT OFFICER. <br />