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<br />AJ:PLIC'-ATI05 FOR PERHIT <br />CITY OF ZEPfIYRlii'a.I.S <br />B~I.Ii-:; DEP~ <br /> <br />OWNER'S RAttE <br /> <br />f)t?/7/BLD <br />- <br /> <br />d, <br /> <br />:r; Yc€_ <br /> <br />------- <br />) ,;..-J J R ~ rR J PIIOfi!: <br />) <br />C7: .2 ~J} 1-2'> <br /> <br />733 - ~9'3,~ <br />FL ;:;;36'77'0 <br /> <br />OWNER'S ADDRESS ;7;;;; '3.;;( cJ /? E c:;, A <br />JOB ADDRESS S R P7 ~ <br />LEGAL DF.SCRIPl'IOJIi: I.OT(S) 7,1 <br /> <br />B.LOCK <br /> <br />SUBDIVISIOI!i q 1 P J-J /:) <br />. <br /> <br />V/ 2- 2.-79 C,L <br /> <br />PARCEL I. D. t <br /> <br />-::J.s-- 4 s--- ~ J <br /> <br />t?// ~n - oC'~t:PO - ~ ?J/) <br /> <br />WORK PROPOSED:--$-,l!iew Construction _Addition _._Alteration -.:...-Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: <br /> <br />Sing1e Faai1y <br /> <br />----1f/F <br /> <br />_, of Units <br />-i-SwI... Pool <br /> <br />_K/H <br /> <br />_eo..ercia1 <br /> <br />_Indust. <br /> <br />Other <br /> <br />~est:aurant &: Health nepan:.ent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cottftERCIAL : <br /> <br />ATTAGII (2) PLm PIAIIS &: (2) SEI'S OF BUILDDfG PL.MiS &: (1) SET ENERGY FORKS. ** <br />A'lTACH (3) SETS OF BUILDIRG PIAIIS &: (1) SET ENERGY FORKS. ** <br />**roPY OF roNTRAGT KIlQUIRIID. <br /> <br />~UBSTED <br /> <br />.$-BUILDING <br />. +--ELECTRICAL <br />_KECllANICAI. <br /> <br />$ <br /> <br />97tJo.ocJ <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />AKP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />s <br /> <br />Va1uation of Hechanical Inst:allation <br /> <br />~PLtJKBTIiG GAS ROOFIilWG <br />TYPE OF roNSTRUGTI01'il: _B1ock _Fraae _Stee1 <br /> <br />SPECIALTY <br /> <br />Ot'.her <br /> <br />FTIlISBED FLOOR ELEVATI05S: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUTT.DER. <br /> <br />JDlD'RACIOR SECTION <br /> <br />C'- WlfPMfY /J,q 713 ' Po (J L ( LJ - <br />a ~ D v / p S~te ~rt:. or R~gist. .' e r tJ j) 1/ 9 q 9 7 <br />1 ~? _ ~ Cl1:y L1cense Reg:lstrat1on , } ;;? <br />~*************************************** <br /> <br />Signature <br /> <br />Siamature <br /> <br />, 7 ~ WlfPAIMY R) C J-J A tFJ 1/ <br />/ .,~ (' State Cert:. or Regist:. , <br />IJ ./c ;(.....~l"".( ~ ,( v.rL6 a.i / t;i.t:.y .L1cense Registration <br />I ****************************************** <br /> <br />{' R!11Yl}/')2- 2- <br />I :z ~C' <br /> <br />f' 2 E'c. \ <br /> <br />ELECTRICIAN <br /> <br />PLUKBER. <br /> <br />r- WlfP.DY 11. g 7' '~ Po 17 L r: u <br />a~ ~ ~ S?,'" ""rt. or K~gist_ ."# tf1 If' t1 d LJ <} ~'7 7 <br />C1ty L1cense RegIstratIon , }~ <br />***************************************** ' <br /> <br />Signature <br /> <br />Signature <br /> <br />flj',a <br /> <br />WlfPMff <br />State CerL or Regist, , <br />City License Registration , <br />***********~*~******~******************** <br /> <br />flECHAlfiCAI. <br /> <br />CUllPMY <br />! State Cert. or Regist. I <br />~ E):.. City License Registration I <br />. ***************~.************************* <br /> <br />APPLICATION API'IlOVEIl BY '1(Wk.f At~/J /WhA. , <br /> <br />. <br /> <br />O"I"HF.R <br /> <br />Signature <br /> <br />PERKIT OFFICER. <br />