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<br />~. <br />''''-''''~:''---~'' <br /> <br />~ <br /> <br />'.'; i.......~-'..~--- -:;~T...." <br /> <br />'. .~ <br /> <br />! <br />APPLICATJ:OIIII FOR PERKI~ <br />GI'IY OF ZEmYltlIiu..s <br />BUII.DIRG DEPAR'DIENT <br /> <br />OWNER'S NAME /fLJYe'JlJ/6r . #.t!fA.(?JV~/.s7~/I11/ SUAl,.6t7 PlIONE r.' ~ ?8!?"~"">'I~' I'n <br />OWNER'S ADDRESS ~ EA57~$to /dELJ/~~ eer/761Z <br />JOB ADDRESS 7/).2D f1/1LL ~"AJ) / .zEPt!I)'.eN/~ . ~ .7.:?.fjlc <br /> <br />LEGAL DESCRIPl'IOI!I: LOI'($) <br /> <br />~SUBDIVISION <br /> <br />PARCEL 1. D. f <br /> <br />&1:' A?7A<!..11€ /) <br /> <br />h1lRK PROPOSED:-LlNfev Const:ruction ---.J\ddit.ion _Alt.erati9n. _Re~ir.__~.tall <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: <br /> <br />Sing1e Fallily <br /> <br />_tl/F <br /> <br />_, of Units <br /> <br />---.Jf./H <br /> <br />_eo-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Depar~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Hei~t <br /> <br />RESIDENTIAL: <br />eotmERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SEIS OF BUILDING PLANS & (1) SF:I' RNERGY FORMS... <br />A1TACH (3) SETS OF BUllDIIilG PLABS &: (1) SET E1NERGY FORtIS. ** <br />.*COPY OF CONTRAcr RIlXlUIRll:D. <br /> <br />PERKITS REOUP..sTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construct.ion <br /> <br />_ELECI'RlCAL <br /> <br />AKP Service <br /> <br />Plorida Power Cbrp. <br /> <br />W.R.E.C. . <br /> <br />_tlECllANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS .ROOFI~i(; <br /> <br />~J.'ti~_lAL'l'l <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDfISDED FLOOR ELEVAnOBS: <br /> <br />FI' . <br /> <br />IS PROJEeT' IN FLOOD ZONE AREA? <br /> <br />l'ES NO <br /> <br />****************************************** <br /> <br />8UILDER <br /> <br />mln'RACJOR SECTION <br /> <br />~ . COIlPANY ~ ~...n:e"~~1 Co, ~< <br />. ?::/. Stat.e Cert. or Regist. f CQ . c..Ok! ~~ <br />'7'V'U- City License Registration' -- '3 <br />****************************************** <br />. .' " I \.... <br />WllPANY ~-/'~. ~ ~-.~. ~.' <br /> <br />State Cert.. or Regist.. , - <!.f2~ ~ s 3 ' . <br />City License Regist.ration I b<~-3 <br />****************************************** <br /> <br />Signature <br /> <br />EI.ECTRICIAN <br /> <br /> <br />MECHANICAL <br /> <br />JI' <br /> <br />(DIpAlfY ~LLbJ YJt /)fj- ~ <br /> <br />~ . SUte Cer<. oi{Begis<. I .. - . <br />City License Regist.ration I 'J ~ <br />.. ************.**.************************** . . ..' ,~ <br /> <br />COIlPABT I/o~k )1thf~ ~.. <br /> <br />State Cert. or egist.' <br />City License Registration" I () ~ <br />***********_**-**************************** . I <br /> <br />PLUKBER <br /> <br />Signa ture <br /> <br />Signature <br /> <br />\.r ,'l _ ,Y /1 <br /> <br />I <br />, <br /> <br />OTHER <br /> <br />.1,-" ( i.'~ <br /> <br />Signature <br /> <br />cmtPANY <br />St.ate Cert. or Regist.. , <br />Cit,r License Registration , <br />*t~********.***.***********************.** <br /> <br />. . _ ~ t <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICEN. ,. <br /> <br />ft <br /> <br />:.'i~ <br />