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<br />APPLICATIOR FOR PERHIT <br />CITY OF :z..tll".UI.KH.1J..i.S <br />B1JJII.DIBG DEPAR'DIRNT <br /> <br />affiw /Jl~~ . <br />_'S ADDRESSt~:; ,~~ <br />.JOB ADDRESS ;:5 C fJ _ _ _ ~_J::/~- <br />I .....- <br /> <br />OWNER'S liAItE <br /> <br />PHONE 7 f?2- - J 0 7 f <br />-2 -~~ <br />- ,2-~ ~~4ti <br /> <br />LEGAL DESCRIPTIOI!i: I.OI'(S) BI...OCY,,--_SUBDIVISIOR <br />PARCEL IoD. # 1'3 -~(;, -:J-/ - () J () 0 - (j D 0 () 0 - t) 1) 6 0 <br />/ . <br /> <br />IiORK PROPOSED:_lIew ConstJ:11Ction _Addition _Alteration _Repair iInstall <br />&/1I$6:Z:- A- Je-. . <br />_Sign _!!love _Deaolish ().~ !- ~ <br /> <br />PROPOSED USE: <br /> <br />Single Faaily ,h _KIF <br /> <br />_, of Units <br /> <br />_K/B <br /> <br />_~rcial <br /> <br />_Indost. <br /> <br />_SwiJI. Pool <br /> <br />Other <br /> <br />_Rest:aurant &: Hea11:h. ~t Approval <br /> <br />BUILDIIIG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />. RESIDEIITIAL: <br />COIttIERCIAL : <br /> <br />A'lTAaI (2) PLOI' PLAIIS &: (2) SETS OF BUILDIIIG PLBS '&: (1) SE.T EllERGY FORKS. ** <br />ATI'AaI (3) SETS OF BUIlJ)ISG PLUS &: (1) SET ElNERGY FORMS. ** <br />**COPY' OF COR'I'RAct REQUIRIl:D. <br /> <br />PIr.RKf'T'S REQUESTED <br /> <br />--BUILDIIIG <br /> <br />$ <br /> <br />Valuation of Total ConstJ:11Ction <br /> <br />lU.F.CTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAllICAL <br /> <br />$ Iq/~D[) <br />, .. <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBIIIG GI\S ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF COIISTRUCTIOR: _Block _Pralle _Steel <br /> <br />Other <br /> <br />FllIISHED FLOOR ELEVATIOllS: <br /> <br />FI' . <br /> <br />IS P.RO.JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />com'RACIOR SECTION <br /> <br />BtrrT .DER <br /> <br />Signature <br /> <br />COItPANY <br />State Cert. or Regist. f <br />City License Registration I <br />**************************** *********** <br /> <br />ELECTRICIAII <br />Sismature ~- <br /> <br />CD!IP. <br />~ SUre Cert. or gis. # /'::./? hiM ? g- 2.3 <br />.' '.. City License Re istration I ( <br />i ************************************ 7' ,( <br /> <br /> <br />PLOtIBER <br /> <br />COItPANY <br />State Cert:. or Regist. f <br />City License Registration f <br />************~**************** ********** <br /> <br />Signature <br /> <br />KECHAlUCAL , COItPARY <br />//---:> I ~ State rt. or gist. # <br />Signature b~ . City License Re istration I <br />}" **~********************************** <br /> <br /> <br />, <br /> <br />0T1IF.R <br /> <br />COItPAIty <br />State Cert. or Regist:. f <br />___._ City License Registration , <br />*~*************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />