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<br />APPLICATIOIi FOR PERllIT <br />CItY OF ZIl;ntIKH ".Le; <br />BUII.DIlIG DEPARIIIElIT <br /> <br />~(~ - <br />OVRER'S ADDRESS 5z~{) l + <;+v c e+ <br />5l?O l~ Sf-rcef- <br /> <br />Olt~ <br /> <br />PIIOlIE <br /> <br />5~7-n11 (1Mi1-<"rSJ <br /> <br />OWNER. , S RAIlE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'IOII: IDI'(S) ~SUBDIVISION <br />PARCEL I4D.' I} -llo -2-1 - 00 I D - } 'LIP D D - 0150 <br /> <br />WORK PROPOSED:_DIIev Construction _Addition ~teration _Repair _Install <br /> <br />S. <br />- :J.gIl <br /> <br />_lIove <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />Single F-ny <br /> <br />_IIIF <br /> <br />_, of Uni.t:s <br /> <br />_IIID <br /> <br />_~rcia1 <br /> <br />_Indust:. <br /> <br />_Swi.a. Pool <br /> <br />Other <br /> <br />RpSt:aurant: &: Hea1t:h ~t: Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height: <br /> <br />RESIDENTIAL: A'lTAm (2) PI.OT PLAIlS &: (2) SEI'S OF BUILDIIfG PIAIIS &: (1) SEl" ENERGY FUlUtS... <br />COItItERClAL: A'lTAm (3) SEI'S OF BUD.DIlIG PIAliS &: (1) SEl" EIIERGY FORIIS..... <br />......OOpy OF mN'l"RAct KIIQIBIRED. <br /> <br />PIlmITTS REOUESTED <br /> <br />---...BUILDING <br /> <br />$ <br /> <br />Va1uat:ion of Tot:a1 Construction <br /> <br />F.I.I1:CJ'RICAI. <br /> <br />AIIP Service <br /> <br />Florida PoIIJIer Corp. <br /> <br />._W.R.E.C. <br /> <br />---.JtItCIIANICAI. <br /> <br />$ <br /> <br />Va1uation of lIechanica1 Inst:a1lation <br /> <br />_PLUtlBING GAS ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF OONSTRUC'I'ION: _Block _~ _Steel <br /> <br />Other <br /> <br />FIIIISBED FLOOR ELEVATIOIIS: <br /> <br />FT. <br /> <br />IS PRO.JECI' 1lI FLOOD ZOIiE AREA? <br /> <br />YES NO <br /> <br />...................................................................... <br /> <br />RUTT DER <br /> <br /> <br />aJlII'JIACIOR S~N <br /> <br />CDlPAlllYILjq <br />StAte Cert. or Re . t. , <br />City License Regis t:ion' <br />.................................................................................... <br /> <br /> <br />Signature <br /> <br />F.I.F.cr.RI.CIAN alllPAIIY <br />StAt:e Gerl:. or Regist:. , <br />S. City License Registration . <br />.................................................................................. <br /> <br /> <br />:=ture d; ~ ~:c:t~~:t.~E <br /> <br /> <br />, . .......................................................................... <br /> <br /> <br />IlEalAllICAL aJIIPARY <br />State Cert:. or Regisl:. . <br />Signature City License Registration , <br />................................................................................ <br /> <br /> <br /> <br />flo"'~;1'j <br />tl ~6 ':/. '3 <br />I,'J <br /> <br />0TRJlR <br /> <br />CDlPAIIY <br />Stat:e Cert. or Regisl:. , <br />City License Registration , <br />............................................................................................ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />J1t1-t\&Ac1 711 h?~ <br /> <br />PERIIIT OFFICER. <br />