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<br />APPLICATION FOR PERKIT <br />CI'lY OF ZEPIIYRBII.LS <br />BOII.DlliG DEPARnIERT <br /> <br />t1LLrUb L;~ <br />~~DR&$.1'~?~~~ <br /> <br />OWNER'S RAKE <br /> <br />PHOn 7' <T2-.- 5 0 7 ? <br /> <br />A ~-hj~ <br /> <br /> <br />, <br /> <br />SUBDIVISION . ~ *MA-' <br />-DOOOO -- CJOGO <br /> <br />LEGAL DESCRIPl'IOII: IDr(S) <br />PARCEL LD.' / ~ .- ztP -2-/~o/ 60 <br />, <br /> <br />BLOCK: <br /> <br />S' <br />- 19D. <br /> <br />_Move <br /> <br />_Deao1ish <br /> <br />"7'R~. irr I' . ^ Install <br />~-/C- <br />D~~.tr-~ <br /> <br />WORK PROPOSED:_Rew Construction _Addition _A1teration <br /> <br />PROPOSED USE: <br /> <br />Single Faaily Ii. _ff/F <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_SwbI. Poo1 <br /> <br />Other <br /> <br />_Restaurant &: Bea1th ~t Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />.. RESIDENTIAL: <br />cotttIERCIAL : <br /> <br />ATTACH (2) PLOI' PLAJiS &: (2) SEI'S OF BlJILDDiG PLUS &: (1) SET ENERGY FORKS, ** <br />ATI'AaI (3) SEI'S OF BUIIJ)lliG PLUlS &: (1) SET ENERGY FORKS.*'" <br />**COPY' OF CONTRAGr ~. <br /> <br />PERI!IITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service F10rida Power Corp, <br />$-/9' IV: () U Va1uation of Hec..JumicaI Installation <br /> <br />W.R.E.C. <br /> <br />--lfECIIAHICAL <br /> <br />_PLUMBING GAS ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _Fra.e _Stee1 <br /> <br />Other <br /> <br />FllIISIIED FLOOR ELEVATImiS: <br /> <br />FT. <br /> <br />IS PKO.JEGr Di FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />************************************"'***** <br /> <br />aE!/lI'RACIOR SECI'ION <br /> <br />RmU)F.R <br /> <br />COIfPOV <br />State Cert. or Regist. I <br />City License Registration I <br />******.****..............*************?'*****~****** " <br /> <br />Signature <br /> <br />KJ.F.cJ.'RICIAN' .. CO!IP. <br />//7 / ~ State &Cert. or gist. I <br />SilPn~ture' ~ .. City License Re istration I <br />~ '! ~******...************************* <br /> <br /> <br />PI.DlBER <br /> <br />COIfPANY <br />State Cert. or Regist. I <br />City License Registration I <br />**************************** ************ <br /> <br />Signature <br /> <br />KEalAlfICAL COIfPOY <br />(~~:).//L- Sure Cert. or R gist. .. <br />Signature .. City License Reg1stration <br />~. ************************************* <br /> <br /> <br />0'T1IF.R <br /> <br />COIfPARY <br />State Cert. or Regist.. # <br />_._. City License Registration ,. ~ <br />****~****...***...****************"'****.** <br /> <br />S ignat:ure <br /> <br />APPLICATION APPBO"VED BY <br /> <br />PERKIT O~CER. <br />