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<br />APPLICATIOIi fOR PERKIT <br />CIlT OF z.m.uIKH H.Le; <br />BUI.I.D:mG DEPAImIEIn' <br /> <br />_'S _ cJtl.AJwmfj,JrJ <br />OVliER'S ADDRESS f? [J.E O~ S9~:' ~(1"fV.('/~ <br />'3 '/'1'-J"L ~DY.?J/J~rAI\.{,l Cd-_ <br /> <br />PIIOIiE <br /> <br />7YZ-9oJO <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'IOII: IDI'(S) .BI.OCX SUBDIVlSIOlI <br />PARCEL LD.' /D- 'L".-ZJ- OJl.c.J- OO{)t.J0.~ ()1)r <br /> <br />w"r1jf' 000 J /!l,fJ~i).~ <br /> <br />IiORK PROPOSED:_lIev Construction _Addition _Alteration _.Repair _Install <br /> <br />PROPOSED USE: <br /> <br />S' <br />- I.gD. <br /> <br /> <br />~e F~ily <br /> <br />_lIove <br /> <br />_De.olish <br /> <br />_If/Y <br /> <br />_, of Unit:s <br /> <br />_M/B <br /> <br />_~rcia1 <br /> <br />_Iodust:. _Swm. Pool <br /> <br />Ot:her <br /> <br />RpStaurant & Bea1t:h Depare:.ent: Approval <br /> <br />BUILDIIIG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Beight <br /> <br />RESIDElITIAL : <br />aJtIII.ERCIAL : <br /> <br />A'lTAW (2) PLOI' PLAIIS & (2) SEIS OF BUII.D:mG I'LAIIS & (1) SKI' ElIERGY FORtIS....... <br />A'lTACB (3) SEI'S OF BUII.DDIG PIAIIiS & (1) SKI' .EIIERGY FORIIS... <br />....mpy OF OOIITKAct .RIlQUIlUlD. <br /> <br />PIf.RIfl'lS KEOUESTED <br /> <br />_BUILDIIIG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />~E.C. <br /> <br />---1f.ECIIAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PUJMBIlIG GAS KOOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF mIlSTRUCTIOK: .-..Block _Fraae _Steel <br /> <br />Ot:her <br /> <br />FIlIISBED FLOOR ELEVATIOIiS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZOIiE AREA? <br /> <br />YES NO <br /> <br />................................................ <br /> <br />RUTI DF.R <br /> <br />aJIII'DL\CIOR SECI'lOR <br /> <br />~u ~ lDIPMY OJ ()Al-UW!UoV ~ rV'f. -Z-L <br />U / State Cert. or Regist.' fl'i) Of? " <br />~ ." l ~~ City License Regist:.ration , () 4 <br />................................................ <br /> <br />Signature <br /> <br />~~~ WllPAIIIY Cn-nAt1.L#//A/ ~~N~..-L.-.f~ <br />, U /1/ S1:ate Cert. or Regist. t tJ6 ~ IfY5 <br />S-=---_~ It-. ~ City License Registrat:ion t :J....e!J {, <br />................................................ <br /> <br />t. ()QL ......ARY (~~~ !1uhl-{~7 <br />Sl:at:e Cert. or Re 1St. t <br />Sigoat:ure ~ - Cit:y License Regist:.ration , I? \. <br />............................................ . <br /> <br />~ <br /> <br />PI.DlBER <br /> <br />WllPAIIIY I V S .L, <'" <br />~ r) /... St:ate Cert. or Regi ., 00 <br />-V ) Z~ Cit:y License Regis tion' 7 / <br />~ 'I............................................ <br /> <br />"".-/ <br /> <br />Y CDlPAlIY f!-fiv/,/l/' /O{}?~~c::.-. <br />ij - /? S1:at:e Cert. or Regist.' ~~ {_ ~ Y"b ;;!L~ <br />Signature ~/ / 0 City License Regist:.rat:ion , '3-<:> <br />.......................................... <br /> <br />APPLICAUOII - BY )1 ~1.J1 p~ <br /> <br />Signature <br /> <br /> <br />:<.. <br /> <br />MECBAllICAL <br /> <br />0TIIIlR <br /> <br />PERIIIT OFFICER. <br />