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<br />APPL,ICAl'IOIl fUR FERtIIT <br />CITY OF Zll:IlIfIYRHIUS <br />B(JIIUlUiG DII',PARlftEBT <br /> <br />OWNER'S NAHE <br /> <br /> <br />OWNER'S <br /> <br />.JOB ADDRESS <br />LEGAL DESCRIPTlmt: IDl(S):2 ~ ::J <br /> <br />BlncK - StmDIVISIOIll~ )~"'/h1Jl.A...-l-aAA)?J(O~ <br />j~-2C:;''-21-()()OC) -(J(')3OCJ -odOtJ <br /> <br />PARCEL 1. D.' <br /> <br />WORK PRoPOsm:A-lIew Construction _MdHi90 _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />~ve <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: <br /> <br />Single F:DIily <br />A-~rcial <br /> <br />_"'F <br /> <br />_' of Uni~s <br /> <br />_KID <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />---.Jlestaurant 5- Health Deparhleot Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />C'OttftERCIAL : <br /> <br />AtTACH (2) PLOf PI.AIIS 5- (2) SEI'S OF BUILDING PUUiS 5- (1) SET ERERGY FORKS. U <br />ATtACH (3) SEI'S OF BUILDUIG PLANS 5- (l) SEI' EJ1IERGY FORKS....... <br />......COPT OF COIfTRAC'f RIlQUllRIlD. <br /> <br />PIlmIlTS REOU&STED <br /> <br />~nLDING <br />~HC'fRlCAL <br />~CBANlCAL <br />'-6.UKBING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AftP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Kechanica.l Installation <br /> <br />GAS <br />X Block <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fr~ _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS FROJEC'f IN FLOOD ZOBE AREA? <br /> <br />YES NO <br /> <br />.............................................................................................................................. <br /> <br />BUT I J)ER <br /> <br /> <br />cornMClUR SECI'ION <br />W!tPMY 80.~~ \Jh~. eo. I ~ 'v,.J0- <br />State Cert. or gist.' c..~O \%J ~3 <br />\ City License Registration , /. <br />............................................................................................................................ <br /> <br />Signatu <br /> <br />ELECTRICIAN ~ mtIIPMlYO/f(yk E/~c<<IC <br />~ ~( /' L7~ State Cert. or Regist. , <br />Sif!D8tureL'~~h 0tJ.. ~ Cit.y I.icense Registration t .#'/:7:-:5 <br />... ~........................................................................................................ <br /> <br />PLUlBKR OOItPARf ~o. ~ a ~~ ~~ '0\ ~\.>1 ~ <br />State Cert. or Regist.' <2. F 2..>iJ?_ r <br />Signature City License Registration , 91 <br />................................................................................................. <br /> <br /> <br />IlECllANICAL <br /> <br />PtaJ ~ <DIPMY ' <br />State Cert. or Regist. , <br />() 'W ~ Cit.l' License Registration <br />.............................................................................................................................. <br /> <br /> <br />Signature ))OQ <br /> <br />01BIl:R <br /> <br />W!tPMY <br />State Cert. or Regist. , <br />City License Registration , <br />.............................................................................................................................. <br /> <br />Signature <br /> <br />APPLICATION APPIlOVIIIl BY Jr.u:z.t <1_ 4ul-dl_r <br /> <br />PERIIIT OFFICER. <br />