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<br />APPLICATIOIl fUR PERKIT <br />CI'IY OF z.tl;ntIJCHTU..!i <br />BUIIJ)I.IIG DEPAKnImII' <br /> <br />OWNER · S RAIlE <br /> <br />ho~ ~~~, <br />-r;)..?J /--" aM~~ <br />5 0('(\ ~ <br /> <br />PIIOIIE ,?;3> - dS 35 <br /> <br />OWliER' S ADDRESS <br /> <br />~~'t\7 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'IOII: IDI(S) JlI.O(2( SUBDIYISIOIi <br />PARCEL I<<D. t ~- ;LS - ';).-\ - aa5<:::> ~ ~CJ ...., all C) <br /> <br />- <br /> <br />IiOKK PROPOSED:_1Iev Construction ~tion _Alteration ~ir _Install <br /> S. _tIove _De.o1ish <br /> - 19D. <br />PROPOSED USE: Single Fam]y --1I/F _, of Unit:.s _II/H <br /> _ec-ercia1 _Indust. _Swu. P001 Ot:her <br /> <br />--.Jlest:aurant .. Hea1t:h DeparI:.erlt Approval <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COItKERCIAL : <br /> <br />A'lTAaI (2) PIDI' PLUS .. (2) SEI'S OF BUIlDDfG PLUS .. (1) SEI' ERERGY FORtIS. ** <br />ATI'AaI (3) SEI'S OF IlUIIJ)I.IIG .PI..DS .. (1) SET EIIERGY FORKS. ** <br />**ooPl' OF OOKrRACI' KIlQUIRED. <br /> <br />PERIf115 REQUESTED <br /> <br />-X-BUILDIRG <br />-X-ELECl'RICAL <br /> <br />$~ ~C{) :?Q <br /> <br />Valuation of Tot:a1 Construction <br /> <br />AIIP Service <br /> <br />Florida .PoIIer Corp. <br /> <br />V.R.E.C. <br /> <br />_IIECIIARICAL <br /> <br />$. <br /> <br />Valuation of lIecbanica1 Inst:allatioo. <br /> <br />X-PLUltBIBG GAS ROOFDIG <br />TYPE OF OORSTRUCl'IOR: _Block _Fra.e _Stee1 <br /> <br />SPECIALTY <br /> <br />Ot:her <br /> <br />FIIIISBED FLOOR ELEVATIOIiS: <br /> <br />Fr. <br /> <br />IS PROJEct IIi FLOOD ZONE AREA? <br /> <br />YES RO <br /> <br />*******************-*******************-** <br /> <br />aJIIITRACIOR SECl'IOR <br /> <br />7 ? 1i,,f/$Ofl <br /> <br />___------..---.-.------________ WllPAIIIY~~ 5 '\D'\~, ~W\. <br />--::::::=-- ~ .' ~ State Cert. or Regist. t <br />Signature ......-- ,~ ~ Cit::y License Regist:.ratioo. t i 1. , <br /> <br />~~. ~~..~......................... <br />:_::: CIAR A.- --.-.--=-=- ~ .,.. WllPAIIY ffi Q~ ~ r F-..~.J.A.- <br />. State Cert. or Regist. t <br />S' . City License Regist:.ratioo. t <br />*-**********-**-******-******************* <br /> <br />~~ WllPAIIIY C~~t!~~ (jJ~Io)~ . <br />State Cert:.. or Regist. t <br />Signature' , ~ City License Regist:.ration t /;;:2. :)" <br />***********-****************************** <br /> <br />RIJTTJ)F.R <br /> <br />PIJIIIRF.R <br /> <br />IIEaIAlIIICAL WllPAIIY <br />State Cert. or Regist. t <br />Signature City License Regist:.ratioo. t <br />****************************************** <br /> <br />0T1IF.R ~ WIIP~~IJ-<./~.vJ <br />./'TL Il /J St:ate Cert. or Regist. t <br />Signature V V~ City License Regist:.ratioo. t <br />*******e*****-*-****-********************* <br /> <br />APPLICATIOR APPROVED BY <br /> <br />PERIIIT OFFICER. <br />