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<br />APPLICATION FOR PERKIT <br />CIlY OF ZIl:nII'KH II.'-~ <br />BUII.DIIIG DEPARIIIEIIT <br /> <br />_'S_~~~ ~\~-'~f~ <br />_'S AD~5~ ~. CifY'~ -;, 7~tTh-l('\\\\\ ~L~ C- <br />JOB ADDlIESS5-:YO 9-ryn.~i)\~Y1~-=+-, 2e~'r\\ \'l~ \~\...??J'CAJ <br />LEGAL DESCRIPTI": IDI'(S) BI.OCX SOBDIVISIOII S~1.1 (2,E.S'\ ft'\'ctf <br /> <br />PARCEL LD.# <br />liOn PROPOSED:_IIev Coost:ruction .-JUIdition _Alteration ~ir J!a Install <br /> <br />S. <br />- J.gIl <br /> <br />_lIove <br /> <br />_De.o1ish <br /> <br />PROPOSED USE: <br /> <br />Single F_i1y <br /> <br />_"'F <br /> <br />_, 0:[ Unit:s <br /> <br />_"/B <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swm. P001 <br /> <br />01:her <br /> <br />Resbmrant &: Hea11:h Departaent Approval. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COItItERCIAL : <br /> <br />AtTACH (2) PIDI' PlAIIS &: (2) SEIS OF BUIIJ)IIIG PlAIIS &: (1) SEI' ElIERGY PORtIS."'''' <br />ATI'ACII (3) SEI'S OF BUIIJ)IIIG PLUIS &: (1) SEI' ElIERGY JIOIUIS."'''' <br />"''''COPY OF CONTRAct RllQUIlUlD. <br /> <br />PERIIlTS RmllR.~TRD <br /> <br />_BUILDING <br /> <br />$. \~D().aO <br /> <br />Va1uation 0:[ Tota1 Construction <br /> <br />F.J.ItCI'RICAL <br /> <br />AIIP Sexvice <br /> <br />F10rida PoIIer Corp. <br /> <br />W.R.E.C. <br /> <br />--.JtECIL\lUCAL <br /> <br />$. <br /> <br />Va1uation 0:[ ff.echanica1 Inst:allation <br /> <br />_PL1Jff.BING GAS ROOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OONST.R1JC'I'IOR: _B1oc1t _~ _Stee1 <br /> <br />Ot:her <br /> <br />FI8ISHED FLOOR ELEVATIOIIS: <br /> <br />Fr. <br /> <br />IS PROJECT IIi FLOOD ZONE AREA! <br /> <br />/ <br /> <br />YES NO <br /> <br />............................................................................................................................ <br /> <br />~CIOR SECl'IOIi <br /> <br />RllTIJ)1tR <br /> <br />Sigoat:ure <br /> <br />aJ!IPARY <br />State CerL or Regist. , <br />Cit:y License Regist:ration , <br />.......................................................................................................................... <br /> <br />F.J .F-Cl'RICL\II <br /> <br />aJ!IPAIIY <br />State CerL or Regist. # <br />Cit:y License Regist:ration , <br />............................................................................................................................ <br /> <br />SiPnAt:ure <br /> <br />PI.DIR1tR <br /> <br />aJ!IPAlIY <br />Stat:e Cert:. or Regist. # <br />Cit:y License Registration f <br />........................................................................................................................ <br /> <br />Sigoat:ure <br /> <br />ff.IlDIAIIICAL <br /> <br />0T1IItR <br /> <br />Roo~\ t\. G- <br /> <br />CDlPAIIY <br />State Cert. or Regist. , <br />Cit:y License Regist:ration # <br />........................................................................................................................ <br />B, \l ~~\J <br />fDlPAlIY l J)C\.,urr-.8L 0\~~ S.{\\lERS." \1" C <br />~' D J State CerL or Regist. # C.~f\3~blL( <br />Cit:y License Regist:ration # cc... ~ 3S,,"ll{ <br />................................................................................................................ <br /> <br />Signature <br /> <br />Signature <br /> <br />1) <br /> <br />'" Bb <br /> <br />APPLICATION APPROVED BY <br /> <br />PERIIIT OFFICER. <br />