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<br />. . <br /> <br />APPLICATIOII FOR PERllIT <br />CIlYOFZf!:PIIYRBIUS <br />BUILDING DEPAKllulIU <br /> <br />OWNER · S RAIlE <br /> <br />tJQ~<= ~j IL. <br /> <br />ftIOlIE <br /> <br />?r(~ -CfufV <br /> <br />OVRER' S ADDRESS <br /> <br />(Ltsjlr-j01./1<7..o1L 2: f-,cJ,{y A-d.:llr <br />I ' <br />LEGAL DESCRIPl'IOI: UJI'(S) /p / BI.OC;X SUBDIVISIOR fA) (-d9 J- W~d j <br />PARCELI.D.' /V-Z{P-Z/- 0/7-0- ()OiJOO- ()~/(J <br /> <br />JOB ADDRESS <br /> <br />~-3 :7 Y:S b <br /> <br />j::' ) R , <br /> <br />fhldNiJA- <br /> <br />- <br /> <br />WORK PROPOSED:~ Const:ruct:ion _Addit:ion _Alt:erat:ion _Repair _Inst:al1 <br /> <br />S. <br />- IgIl <br /> <br />_lIove <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />~gle Fam.ly <br /> <br />_II/F <br /> <br />_' of Unit:s <br /> <br />_lI/n <br /> <br />_~rcial <br /> <br />_Indust:. <br /> <br />_Swill. Pool <br /> <br />01:her <br /> <br />RpSt:aurant: & Bea11:h DepartJlent: Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet:. <br /> <br />Height: <br /> <br />RESIDENTIAL: <br />COfIIIERCIAL : <br /> <br />A'lTAm (2) PUJI' PI.AIiS & (2) SErS OF BUII.DING PIARS & (1) SEl' ERERGY FORKS... <br />A'lTAm (3) SErS OF BUII.DING PIAIIS & (I) SEl' EIIERGY FORKS....... <br />..ropy OF COlI'J'KAcr RIIQUIRIlD. <br /> <br />PF.RJITTS REOUESTED <br /> <br />---...BUILDING <br /> <br />$. <br /> <br />Va1uat:ion of To1:a1 Const:ruct:ion <br /> <br />_ELEC'I1UCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />~E.C. <br /> <br />---.JIEmANICAL <br /> <br />$. <br /> <br />Valuat:ion of llechanica1 Inst:a1lat:ion <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OONSTRUC'I'IOII: _Block _Fraae _St:eel <br /> <br />01:her <br /> <br />FIRISBED FLOOR ELEVAnOllS: <br /> <br />FT. <br /> <br />IS I'RO.JEcr IN FLOOD ZOIlE AREA? <br /> <br />YES NO <br /> <br />.................................................................................................................. <br /> <br />aD'IRACIOR SECI'ION <br /> <br />!Jlo 4 (DtpARY tJ. /).;J (.-J NI a~r' C:;~(.rI. <br />St:at:e Cerl:. or Regisl:.' 007 0 ~'L V <br />Signat:ure __ ~~ City License Regist:rat:ion t 7l ' <br />... ................................................................................................................. <br /> <br />ItI.RCTRTCIAN . l' WllPARY (~~/~.LA~ ___ <br />_~/~ ./ / / / ../j S1:ate Cerl:. or Reg1S1:. , /) b 6 'I '( 5 <br />51-tare ~ (t-/R7';- CHy Lic:ease RegiSbaU_ . '),0& <br /> <br /> <br />PUBBBI /J ff!~----~:;:G;];;; iXJ"l <br />Signa1:ure u::-.-ClvuJ..1/yt / feLt--.... City License Regist:rat:ion , 1[.1- <br />.......................................................................................................................... <br />lDIPAH A";,... ~ C a-v f-i,.Q <br /> <br />,.. S1:at:e Cerl:. or Re sl:. t 0 '57"'/ ..L <br />City License Regist:rat:ion , '-7 / <br />.......................................................................................................................... c r <br /> <br />CDlPAIIY G! b1 t//~ tC;u/-.-c; <br /> <br />S1:at:e Cert:. or Regisl:. t /' <br />City License Regist:rat:ion t <br />........................................................................................................................ <br /> <br />APPLICATIOII - BY '71<2......J _~ L-1A}W- <br /> <br />BUTT .oER <br /> <br />IIECIIAIIT CAI. <br /> <br />Signature <br /> <br /> <br />0T1ID ~ie r <br />sigoa1:ur~~L~ <br /> <br />PERIIIT OFFICER. <br />