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<br />APPLICAnOll fUR. PERKlT <br />CITY OF ZIlHIIKBIU,S <br />BUII.DIJIC DEPAImIEIrr <br /> <br />OWNER' S RAIlE <br /> <br />:-<AlK't K~Jl'l <br />3lD l./ 1.3 <br /> <br />(, r~' , .. ~ ). <br />l-l:, )~ t:- <br /> <br />.fIIOIIE <br /> <br />? B 3-/ S-7S <br />If 3351 . <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />--;) '8 .-<.- <br />c- J t ;'\ ~,;) C <br /> <br />CHEeR- wool::> ).../1.(" Z~Pf{Y~/I/c.c5 <br />5''''''t-ht 2Ff'HYR.\i I U.J~ <br />o f; 7 ~SOBDIVlSIOR(1,\ Df ~3~'t\1f?:-HIUS <br /> <br />LEGAl. DESCR.I.PI'IOR: I.OI'(S) <br /> <br />PARCEL LB.' <br />WORK PROPOSIlD:__ev Coos~rUc~ion ----JWdition ~A1tera~ion _Repair _Install <br /> <br />_Si8n <br /> <br />_lIove <br /> <br />_ne.oIish <br /> <br />PROPOSm USE: <br /> <br />Single F..tly <br /> <br />_"'F <br /> <br />_' of Units <br /> <br />_"/8 <br /> <br />_~rcia1 <br /> <br />_Indust. _Swill. Pool <br /> <br />Other <br /> <br />Restaurant 5- Bea1th Deparblen~ App.r:o\raJ. <br /> <br />BUILDIIIG SIZE: <br /> <br />x <br /> <br />~e Fee~. <br /> <br />Beieht <br /> <br />RE5IDElITIAL: ATTAaI (2) P1OI' PLAIIS 5- (2) SEIS OF BUlLDIIIG PLAIIS 5- (I) SKI' ElIERGY FORtIS... <br />aNlERCIAL : . ATTAQI (3) SETS OF BUIl..DIIIG PUlIS 5- (I) SKI' btlUlGr .I'1))B;... <br />..00Pl' OF aJII'DAcr RIIQUJ.JUID. <br /> <br />PllJlJlTlS RIlDIIR.C:J'EI) <br /> <br />_BUlLDUfG <br /> <br />$. '.::> ,. {1 () <br />~.j( -(), <br /> <br />Va1ua~ion of TotaJ. Cons~ruction <br /> <br />-ELECIlUCAL <br />----.JIECIIANICAL <br /> <br />AIIP Service <br /> <br />FIorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$. <br /> <br />Valuation of lleduanica1 Installation <br /> <br />-PWHBIIIG GAS ROOFIIIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OOIlST.RIJCTIO": ---.JIloclt ----Y'~ _Steel <br /> <br />Other <br /> <br />FlIl1SHED FLOOR ELEVAnOllS: <br /> <br />Fr. <br /> <br />15 lWIJEcr D FLOOD 7.OlIIl: AREA! <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BUlIJ)P.R <br />c.... <br />S. ,I <br />I.gDature ! <br /> <br /> <br />WDRACIDR SECrIOl <br /> <br />r <br />mtPAlIY CIlRmll}.J, S/~ 1 iE~\i\ ? <br />Sta~e Cer~. or Regiat.' 0.~G, (1 0 t.f ;Y3SL/- <br />City License Regfsttation , ,;;<Lj <; <br />................................ <br /> <br />RT.F..CI'.RT~ <br /> <br />OOIIP.AH <br />State Cer~. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SilmJllture <br /> <br />PlDlRRR <br /> <br />- <br /> <br />WflPMY <br />Sta~ Cer~. br Regist. , <br />City Li~ Registration , <br />.......................................... <br /> <br />Sigoa~ure <br /> <br />~CA.L <br /> <br />Signature <br /> <br />mtPMY <br />Sta~e Cert. or Regis~. , <br />City License Registra~ion , <br />.......................................... <br /> <br />0I1IIIR <br /> <br />Signature <br /> <br />mtPAlIY <br />Sta~e Cer~. or Regia~. , <br />City License Registration . <br />.......................................... <br /> <br />M'PLlCAnOll APPRovIrD BY <br /> <br />'11,u,-"'Q ,'4f:!/'~ <br /> <br />PERflIT OFFICER. <br />