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<br />APPLICATIOII fUR PERllIT <br />CI'IY OF ZlwHIKH 11.'-<= <br />BUII.DI.IIG DEP.AKllulBr <br /> <br />0WlIER. · S lIAIIE <br /> <br />r-'~/~ <br /> <br />q. :j)/l-!h J5,J J' e/I <br />~/,7/7J ~/~ , <br /> <br />PfJOlfE pi :5 --- 7 f" 2 - t:, Y3 0 <br /><</~J~~ ~: <br /> <br />0IIlIER' S ADDRESS . 19 I s? '/ <br />JOB ADDJl&C)S --5:""7'41 e.- <br /> <br />.. ~ <br /> <br />LEGAL DItSCRIPl'IOII: I.OI'(S) <br /> <br />~SUBDIVlSIOII <br /> <br />PARCEL I.D.t <br /> <br />.,.., <br /> <br />MJKK PROPOSED:_,X..Jiev Construction ---...Addition -KAlteration _.Repair _Inst:all <br /> <br />Sign .,1 <br />/1; /'If i --Jr-cU ~/ <br />PROPOSED USE: X Single FamJ.y <br /> <br />_lIove <br />c? /1/ )a 4'?- c" <br /> <br />~lish <br />~4LlS <br /> <br />_fl/F <br /> <br />_' of Uni.t:s <br /> <br />_fl/H <br /> <br />_~rc..ia1 <br /> <br />_Indust. <br /> <br />_SWill. Pool <br /> <br />Other <br /> <br />--t:aurant & Hea1t:h ~t Approva1 <br /> <br />BUlLDIIIG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDEI1'IAL: <br />mtmERCIAL : <br /> <br />A'lTAaI (2) PLOI' PLAIIS &: (2) SEIS OF BUD.DDIG PLAIIS & (1) SKI' ElIERGY F'ORIm. ** <br />ATrAaI (3) SEI'S OF BUllDI.IIG PIAIIS & (1) SKI' EIIERGY FOJUIS. ** <br />**mpy OF mtrmAcr RIIQUIRIID. <br /> <br />PIl1IIIT'I'S KEOIIR.<=Tm <br /> <br />+BUlLDIIiG <br />)( RI.F.ct'RICAL <br /> <br />$. <br /> <br />~~Jcf: ~p <br /> <br />Va1aation of Tota1 Construction <br /> <br />Aff.P Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br /> <br />$. /)0. <br /> <br />',;.7,e7 <br /> <br />Va1aation of ff.echanica1 Inst:a1lation <br /> <br />-YLUfIBDJG GAS IIOOFDIG <br />dTYPE OF mIlSTRUCl'IOII: _Block -LL.~ _Steel <br /> <br />SPECIALTY <br /> <br />Ot:her <br /> <br />FIIIISIIED FLOOR ELEVATIOIIS: <br /> <br />FI' . <br /> <br />IS P'IIO.JECI' III FLOOD 7.OIIJE AREA. T -k.- <br />YES 110 <br /> <br />**********************************....**** <br /> <br />aJWI'.RACIOR SECl'IOIJ <br /> <br />fDlPAIIY ,*/'/ &/..,4- :;c #-croc.. <br />SI:a~ Cert. or Regist.' c: & c. D Y3 j/2.. 2- <br />City License Regist;ration. . / J 0 <br />****************************************** <br /> <br />~ J ~ aJIIPAIIY <br />. .. j:~ - ~':;'L~o~~,:". <br />I ******** ******....*********************. <br />, <br /> <br />BIITT.DF.R <br /> <br />Sigoab1re ~ Z ~ <br /> <br />, <br /> <br />7~~ <br />... <br /> <br />PI.DIRF.R <br /> <br />Signab1re <br /> <br />1/;1 <br /> <br />COPIPA1IY <br />Sl:al:e Cert. or Regist. " <br />City License Registration t <br />****************************************** <br /> <br />~~/, <br /> <br />fDlPAIIY ~M~; ~~/<A'...e <br />4}f.~ State Cert. or - pst;. 2/.'1(, <br />City License Registration t <br />. *********......*************************** <br /> <br />O'I'IID <br /> <br />Signature <br /> <br />#4 <br /> <br />fDlPAlIY <br />Sl:ate Cert. or Regist. . <br />City License Regist.ration " <br />*********............********************* <br />1/ aM... ~ . xr .v\.<Iw- PIlIDIIT OFFICER. <br /> <br />APPLICAnOIl APPROVIl:D BY <br />