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<br />APPLICA.TIOIll fOR PERKlT <br />CItY OF ZEPIIYRIllU.S <br />BUIIJ)IJIC DRPARIIUl:ID' <br /> <br />OWNER · 5 RAIlE <br /> <br />GeAJe Pf+S('U.CC; <br /> <br />PIIOIIE c!/3) ?ko - 8>966' <br /> <br />OWIIER' 5 ADDRESS 3801 L/ <br />JOB ADDRESS SA IV' e <br /> <br />1.n-wANc:I~ <br /> <br />;"'00 () <br />, <br /> <br />LEGAl. DESCRIPTIOI: I.OI'(S) <br /> <br />0).,50 <br /> <br />~SUBDIVI.SIOII <br /> <br />b/.I;.o <br />, <br /> <br />PARCEL I;D.# JJ/ -;zfs., -;21 - O/&'O-OOQOO - 0;)..50 <br /> <br />WORK PROPOSED:_1Iew Construction ----.l'ddition _Alteration ---..Repair <br /> <br />S. <br />- 19t1 <br /> <br />_Hove <br /> <br />--P~lish <br /> <br />~ Install <br />Y/IV)/ W,N ~ovJ-S. <br />I.oof LI\ISL.t JI'~1-1 01V' <br /> <br />PROPOSED USE: <br /> <br />Single F_ily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />---1t/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swm. Pool <br /> <br />FbR.-C ~ <br /> <br />Other <br /> <br />---..Restaurant & Health Deparblent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~ Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTAaI (2) PUJI' PLAlIS & (2) SEIS OF BUIIJ)IRG PLAIIS & (1) SKI' EllERGY FORIIS... <br />mtIIIERCIAL: ATI'AaI (3) SEIS OF BUII.DIlIG PLAIiS & (1) SRI' ElIERGY FOIUIS... <br />..oopy OF ooll11lACI RllQUlRIID. <br /> <br />PIr.RJIITS REOUESTED <br /> <br />v" BUILDING <br /> <br />$ c2ooo. 00 <br /> <br />Valuation of Total Cons1:ruction <br /> <br />_ELEcnuCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />__W.R.E.C. <br /> <br />---1tECllANICAL <br /> <br />$ <br /> <br />Valuation of Hecbanica1 Installation <br /> <br />_PLUKBING GAS ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF ooNSTRUCI'IOII: ---..Block _Fr.-e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREAT <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />COIII'IRACIOR SECTION <br /> <br />BUTI.DRR (DIpAIIY ~h,ts A J-,l..\fI'I. (R..Atvl><j -~ 1-1- h 1l) <br />State Cert. or Regist. # <::!..:Bc. [;l,,~(p 07? <br />Signature City License Registration # .;1.89 <br />.......................................... <br /> <br />RI.F..cI'nCIAN CUlPARY <br />Stat.e Cert. or Regist. # <br />SiPIIAture City License Registration # <br />.......................................... <br /> <br />PIJIIIBRR CDlIPAIIY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />.......................................... <br /> <br />IIEaIAlIICAL lDIPAIIY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />.......................................... <br /> <br />OTRIIR COfIPAIIY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERIIIT OFFICER. <br />