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<br />APPLICATIOIiI FUR PHRJUT <br />CITY OF ZHPBJRHI US <br />BUTILDlliG I,)EPARJMflXT <br /> <br />OWER"S NAttE J} t,CR ~D <br />OWNER" S ADDRESS 3 ~ L( 0 .3 <br />JOB ADDRESS .s A-1Yl ~ <br /> <br />-::r /1/2 u i..J <br />I t..{ Th. A Ue <br /> <br />PHONE 7B~- 7379 <br />, <br /> <br />?'f!;1f>l1y~jl//JJ J 'f"L, .5-:5 S't6 <br />, / <br /> <br />LEGAL DESCRIPI'ION: IJJf(S) <br /> <br />BLOCK <br /> <br />SUBDIVlSIOIIi <br /> <br />PARCEL LD.t <br /> <br />WRK PROroSIlD:_lNfev Construction _Addition _Alteration _Repair _Install <br />_DeIIOlish CAflN5e- ou..r /1/ C- <br /> <br />_Sign <br /> <br />_lPIove <br /> <br />PROPOSED USE: <br /> <br />Single Fa.By <br /> <br />--1f/F <br /> <br />_, of Units <br /> <br />_"'n <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swi.-. Pool <br /> <br />Other <br /> <br />_Ilestaurant 5: Health Depaet.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COlItItERClAL : <br /> <br />ATI'ACII (2) PLot PJ.AIIIS 5: (2) SETS OF BUILDING I'L.US 5: (1) SEI' ERERGY FORKS....... <br />ATI'ACII (3) SETS OF BUII.DDfG PlANS 5: (1) SKI' mlllRCT FORKS....... <br />......OOPY' OF OORI'RACf RE'QtlfIRIJD. <br /> <br />PIlBftlTS REOUESTED <br /> <br />~BUILDING <br /> <br />$ <br /> <br />Valuaf: ion of Total Construction <br /> <br />_ELECfRlCAL, <br />--XJutCHANICAL <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ ~(JfJ <br /> <br />Valuation of Kechanica~ Installation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />TYPE OF OONSTRUGI'lON: _Block _Frawe _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />ISPROJECf Hi FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.............................................................................................................................. <br /> <br />aJJD'RAClOR SECfION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />CO!fPMIY <br />State GerL or RegisL I <br />City License Regist:ration I <br />............................................................................................................................ <br /> <br />ELECfRlCIAN <br /> <br />COIPIPMY <br />State Gert. or Regist. I <br />City License Registration I <br />............................................................................................................................ <br /> <br />SiJmature <br /> <br />PLtltBER <br /> <br />Signature <br /> <br />CO!fPAIiT <br />State Cert. or Regist. I <br />City License Registration I <br />.......................................................................................................................... <br /> <br />KECBAliICAL <br />Signature 4/ <br /> <br />7h~ __ <br />. <br /> <br />WltPMfY Z6/,1J7R /1/ ~(!" <br />State CerL or RegisL I Rill!> os-O<;l7' <br />City License Registration I ~~ <br />............................................................................................................................ <br /> <br />O'IBER. <br /> <br />Signa.tuee <br /> <br />COPIPMY <br />State Geet. or Regist. I <br />City License Registration , <br />.............................................................................................................................. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />