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<br />'1'. <br />;~1~ <br />IF 3 )~'51 <br /> <br />"""""'S RAIlE C?~2fi~-I~ <br />"""""'S ADDRIrSS fl~j--- //ftt;4) <br />/[1 .;P7~ ' <br /> <br />, <br /> <br />APPLICaTIOR FOR PHRJiIIT <br />CI'IY OF ZIlJ."HIKtIlll.T.~ <br />BUII.DTIiG DEPARnIHJItT <br /> <br />.JOB ADDRESS <br /> <br />[72/ <br /> <br /> <br />'/- <br />---~ <br /> <br />LEGAL DFSCRIPl'ImJ: 101'(s) <br /> <br />BI..OCK <br /> <br />SUBDIVISIOB <br /> <br />PARCEL I. D. t <br /> <br />~ 1t-/CtI", <br />P--Install ~ <br /> <br />WORK PROPOSED:_lMlev Construction _Addition _Alteration _Repair <br /> <br />S' <br />- 19I1 <br /> <br />_Move <br /> <br />__Deaolish <br /> <br />PROPOSED USE: //Single Faaily <br /> <br />., _fl/F <br /> <br />__, of Unit:s . <br /> <br />_K/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swi..-. Pool <br /> <br />Ot:her <br /> <br />_Rest:aurant &: Bea1t:h Departaent Approval <br /> <br />BUILDIlfG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />. RESIDENTIAL: <br />COItIIERCIAL : <br /> <br />ATTACH (2) PLOl' PLARS &: (2) SEI'S OF BUlLDDiG PLUS. &: (I) SEI' ENERGY FORKS. ** <br />ATI'ACH (3) SEI'S OF BUII.DDlG PLUJS &: (I) SEI' EHRGY FORKS.** <br />**COPr OF COHTRAC'I' REQUIRED. <br /> <br />PERIPIT'I'S REOlJESTED <br /> <br />_BUILDIlfG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />~CAL <br /> <br />. AKP Sen1ic, _'lorida Power <br />~, 0 0 ValDaH_ 0" llechanical <br /> <br />Corp . <br /> <br />W.R.E.C'. <br /> <br />Installation <br /> <br />_PLUKBIIfG <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF COlfSTRUCTIOR: _Block __Pralle _St:eel <br /> <br />Ot:her <br /> <br />FIlIISBED FLOOR ELEVATIORS: <br /> <br />FI' . <br /> <br />IS PRO.JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*********~~****************************** <br /> <br />COlITBACIOR SECTION <br /> <br />RmTDF.R <br /> <br />Signat:ure <br /> <br />COItPMiY <br />St:ate Cert:. or Regist. f <br />City License Registration , <br />**********.A&&&.***********~*********~**** <br /> <br />ELECTRICIAH <br /> <br />COItPMY <br />St:at:e Cert. or Regist. f <br />City License Registration t <br />******************&&&&&&&***************** <br /> <br />Silml'lt:ure <br /> <br />PLUKBER <br /> <br />COIIPARY <br />State Cert. or Regist. I: <br />CiLlr License Registration I <br />*************************** ************ <br /> <br />Signat:ure <br /> <br />KECllARICAL , COIIPAn <br />~ ~ S""~e Cer~. or gist.' <br />Signa. .r- V City License Re istration <br />~ ******.********************************** <br /> <br /> <br />0"nIF.R <br /> <br />COIIPANY <br />St:ate Cert:. or Re~-isL ~ <br />_______~ City License Regist.-:.-ation ., <br />*.k**.~*****.~********************~~***:~~ <br /> <br />S igoat:ure <br /> <br />APPLICATIOR APPROVll'D BY <br /> <br />l'F~!:HTT OFFICER. <br />