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<br />APPLICATIOlI FOR PERIIlT <br />CI'IY OF ZKl'UIKHIT.U: <br />BUII.DIIIG DEPARIIIEIIT <br /> <br />OWIIER'S IWIE .$tL <' Lc:~ <br />OIftIER'S ADDDSS S/7 'Y,7 ?/.r-r Z ~~/~ <br />.JOB ADDRESS S'"A./P/' e' <br /> <br />.lB)lIE <br /> <br />LEGAL DESCRIPl'IOII: wr(S) <br /> <br />~SUBDIYISIOII <br /> <br />PARCEL LD.' <br /> <br />- <br /> <br />won PROPOSED:_Wev Const:ruction .-JWdition _Alteration _Kepai..r _Inst:all <br /> <br />_Sign <br /> <br />_Move <br /> <br />_De.olish <br /> <br />_ec-ercia1 <br /> <br />_II/F _' of Units _/H <br />_Indust. _Sw:L.. Pool //~ /Ut'WI9 )LOther <br /> <br />PROPm;RD USE: Sing1e F-u.y <br /> <br />--bmrant & Hea1th Depart.eo.t Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDElITIAL: <br />aJlmERCIAL : <br /> <br />A'lTAaI (2) PI.OI' P.LAIIS & (2) SEIS OF BUILDIWG PJAIIS & (1) sa EllERGY FORIIS....... <br />ATl'AaI (3) SEI'S OF BUII.DIIIG PLAIiS & (1) sa EIIERGY FOIIIIS...... <br />......001'1' OF COIITKAcr JUIQODUID. <br /> <br />PIIJIIIT"I'S KEOIJES'I'ED <br /> <br />--BUILDIIIG <br /> <br />$ <br /> <br />,~'St7d <br /> <br />~ <br /> <br />Va1uation of Tota1 Construction <br /> <br />F.I.RC'I1UCAL <br /> <br />AIIP Service <br /> <br />Florida Puller Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br /> <br />$. <br /> <br />Valuation of 1lech.ani.ca1 Inst:a11ation <br /> <br />~IIIG GAS ROOFIIIG <br />TYPE OF OOIlSTRUCTIOII: ~lock _-rn.e _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIIlISBED FLOOR ELEVATIOIIS: <br /> <br />FI' . <br /> <br />IS PRO.JECI' D FUJOD ZOIIE AREA? <br /> <br />YES 110 <br /> <br />......................................................................... <br /> <br />~CIOR SECl'IOR <br /> <br />Signature <br /> <br />aJ!IPAIIY <br />Sl:ab! Cert. or Regist. . <br />City License Registration , <br />............................................................................ <br /> <br />RmTDRR <br /> <br />F.I.RCTRTCL\II <br /> <br />Silm~ture <br /> <br />(DIpAIIY <br />Sl:ab! Cert. or Regist. , <br />City License Registration , <br />............................................................... <br /> <br />PT.DIRRR <br /> <br />Signature <br /> <br />aJIIPAIIY <br />Sl:ab! Cert. or Regist. , <br />City License Registration , <br />................................................................................. <br /> <br />IIEmAlIICAL <br /> <br />Signature <br /> <br />aJIIPAIIY <br />Sl:ate Cert. or Regist. , <br />City License Registration , <br />................................................................. <br /> <br />mHRR aJ!IPAWY L S ~ ~ Ce;?"v?/Z- <" / t? <br />~ ~.r- Sl:ate Cert. or Regist. t <br />Signature ~/-::7- .J'__ _ - ~ City License Registration' / <br />............................*****........................................... <br /> <br />APPLICAnOIl APPROVED BY <br /> <br />PERIIIT OFFICER. <br />