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<br />~ . <br /> <br />APPLICATIOB fOR PERKIT <br />GI'IY OF l.EnIIKIUT.I-C;: <br />BUII.DIJIG DEPARIIIEIT <br /> <br />OWNER'S rwtE_l++K th.+-e("Sk.t~ ( <br /> <br />OWNER'S ADDRESS <377/0 Ale':CJfDr+- Dr <br /> <br />JOB ADDRESS &f~~/rk"'0tc..e) <br />l \J <br />LEGAL DESCIUPl'IOIII: IDI(S) BUJCK: <br /> <br />J.IH)IIE <br /> <br />SOBDIYISIOII <br /> <br />PARCEL I.D.t <br /> <br />IiDRK PROPOSED:_lIev Construction _Addit.ion _Alt.eration _Repair _Inst:all <br /> <br />S. <br />- 19I1 <br /> <br />_lIIove <br /> <br />_De.o1ish <br /> <br />PROPOSED USE: <br /> <br />Single Faai1y <br /> <br />_II/F <br /> <br />_' of Unit:s <br /> <br />_II/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swia. P001 <br /> <br />Other <br /> <br />R(,,$t:aurant &: Hea1th ~t Approval. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height. <br /> <br />RESIDENTIAL: <br />aJIIIIERCIAL : <br /> <br />A1TAaI (2) PLOr PLAIIS &: (2) SEI'S OF BUII.DIJIG PLAIIS &: (1) SET ElIERGY FORKS....... <br />A1TAaI (3) SEI'S OF BUII.DIlIG PIAIIS &: (1) SET ElIERGY I'ORIIS....... <br />......OOPY' OF OORTRACl :RIlQUIIUID. <br /> <br />PI1mIITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Va1uatioo of Tot:a1 Construction <br /> <br />_ELEC'.fRICAL <br /> <br />AtIP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--..JIEmARICAL <br /> <br />$ <br /> <br />Va1uatioo of lIechanica1 Installation <br /> <br />_PLUKBING GAS ROOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OONSTRUCTIOll: _B1oc1t _Fraae _Stee1 <br /> <br />Other <br /> <br />FIKISBED FLOOR ELEVATIOIIS: <br /> <br />Fr. <br /> <br />IS PRO.JECI' IIi FLOOD ZOO AREA! <br /> <br />YES NO <br /> <br />.......................................................................................................................... <br /> <br />Signature <br /> <br />4-ec <br />d <br /> <br />aJII'IRACIOR S.ECI'IOIiI <br /> <br />OO!IPAliY /3.f/l f/l1F:l:J/~ +&mEIl/7- ) Afr'_ <br />State Cert:. or Regist:. , <br />&0 ~ , City License Registration' J.j '!- <br />...........................................................................................**......... <br /> <br />BIJTTJ)F.R <br /> <br />'RJ.F.CI'RICIAR OO!IPAIIY <br />State Cert. or Regist. t <br />SilmAture City License Registration . <br />**................................**.............****.................**...**......... <br /> <br />PUllBER. OO!IPAlIY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />............................................**.................................................................... <br /> <br />IlECllAllICAL al!lPAIIIY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />.................................**........................................................................**......... <br /> <br />0T1IlIR aJIIPAIIY <br />State Cert:. or Regist. , <br />Signature City License Registration . <br />..........................****............**..............................**.............................. <br /> <br />APPLICATIOlf APftlOVIJ'.D BY PERIIIT OFFICER.. <br />