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<br />---- <br /> <br />APPLICATION FOR PHRnIT <br />CITY OF Z,HPlfJRBILLS <br />BUTIWlliG DHPARntlr.1IIfT' <br /> <br />OWNER' S NAHE T. fi . <br />OWNER' S ADDRESS 3' f5 "'/- '3'7 <br />3~~37 <br /> <br />E/-1s~d/ <br /> <br />/ of T/~ /9t/E <br />/3/.# /9t/E <br /> <br />.PHONE <br /> <br />3/.5 - ?r ;?-;z 7 II <br /> <br />.JOB ADDRESS <br /> <br />LEGAL DESCRIPl'I01M: LOf(S) <br /> <br />BLOCK <br /> <br />SUBDIVlSIOlNl <br /> <br />PARCEL 1. D.' <br /> <br />WORK PROI'OSED:_lNJew Construction ~ddiUon _Alteration _Repair _Install <br /> <br /> _Sign _lPtove _De.-o.lish <br />PROPOSED USE: Single Fallil,. _"'F _' of Unit.s <br /> _~rcial _Indust. _Swbl. Pool <br /> _Restaurant 5- Health Depar~t Approval <br /> / // <br />BUILDING SIZE: 35 X Zr- . ?'~t9 Square Feet.? & <br /> <br />_KID <br /> <br />Other <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cottKERCIAL : <br /> <br />AtTACH (2) PLOI' PUUls 5- (2) SEIS OF BUILDING PINiS 5- (1) SET ENERGY FORKS. U <br />AlTACB (3) SEIS OF BUllDING PI..Mis 5- (1) SKI' BEReT FORItS... <br />......COPT OF CONTRAct REQUllRED. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />dJd <br />.5; t:P Cj#r' <br /> <br />" <br /> <br />PEIUIlTS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_EI.HCfRICAV/ <br />_HEt."IIANICAL v' $ <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING ./ GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OP CONSTRUcnOlNl: _Block -"'ralle _SLeel <br /> <br />Other <br /> <br />FlllUSRED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZOIfE AREA? <br /> <br />YES NO <br /> <br />...................................................................................................... <br /> <br />COJI'IKA.ClUR SECI'ION <br /> <br />BUTlDER W!fPANY #~~ ~A/~~--- <br />-/ ~ ---- .....~ State Cert. or Regist. I <br />Signat.ure ~/v. ~ Cit.,. License RegisLration I <br />~ ................................................................................................................ <br /> <br />WIlPARY ffol(o~LJ 61 ~ /i~-e <br /> <br />~ . d state Cert.. or Regist.. I <br />JJ.-U r' City License Regist.rat.ion I ??- / <br />~.........................................~..... ~~ '~ <br /> <br />PLUllBER ~' / lDlPAIIY C~~~-C ~Ay , <br />State Gert.. or Regl.s . I <br />Signature I CiLy License Regist.rat.ion t /' .;).5' <br />...................................................................................................................... <br /> <br /> <br />flEatARICAL <br />Signature _~~ <br /> <br />COlPIPMY ~ I/,e 5 /J! 0 "r-/ f:.. G)Il,S e... <br />./ ~ State Cert.. or Regist.. t ~Co yJ'Y <br />~ Cit.,. License Registration t 75 ~ <br />.......................................................................................................................... <br /> <br />~ .:1>v c. <br /> <br />OTHER <br /> <br />COPIPAIiY <br />Stat.e Gert. or Regist.. I <br />City License Regist.rat.ion , <br />...................................................................................................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />7'taM"'(J. ~~J- <br /> <br />PERtlIT OFFICER. <br />