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<br />APPLlCAnOll fOR PERlUT <br />CITY OF Zfl;ruIKHILI.S <br />BUII.D1JIG DEPARIIIEIn' <br /> <br />OWNER'S fWIE c..EN\'l!:.E..- fY\A~~ ~~'i>. moRE C;ocl - $1::. 7 - /.3l/9 <br />OWNER'S ADDRESS /Oa.OlI J.Ju.1Y =1() I UA"bt 0.'7"7 Ft- ..53S~S <br />JOB ADDRESS I'" -,....." ~l AT DA-LJ<:;' tlTR.! DAt<. QiaEST ~tsbllllS.I{)A.J (g::~~bJ <br />LEGAL DESCIUPI'IOII: wr(S) c; ~SUBDIVISIOB OA~ <br /> <br />PARCEL I.D.' <br />- <br /> <br />NORK PROPOSflD:-X.llev Construction -Jddition _Alt:eration __epair _Install <br /> <br />_Sign <br /> <br />_lIove <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />Single F_ily <br /> <br />_"'F <br /> <br />_' of Un:its <br /> <br />_"/B <br /> <br />_~rcial <br /> <br />_Indust. _Swill. Pool <br /> <br />Other <br /> <br />__estaurant & Health De(Jlarblent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: AlTACH (2) PIJJI' PLAIIS 6: (2) SEIS OF BUlI.DIIIC PLAIIS & (I) SEI' ElIERGY FORIIS... <br />COPIIIERClAL: ATtACH (3) SEIS OF BUlI.D1IIC PLAlIS 6: (I) SEI' ElIEIlGY FOIUIS... <br />..mPr OF OOlIl'BAcr .RIIQUllUI:D. <br /> <br />PIlJII(llS JlEOIJR.-;1EQ <br /> <br />_BUILDING <br /> <br />$. <br /> <br />Valuation of Total Coost:ruction <br /> <br />_ELBcrRlCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECIIAIf1CAL <br /> <br />$. <br /> <br />Valuation of "echan.icaJ. Installauon <br /> <br />_PLUPtBING <br /> <br />GAS <br /> <br />ROOFIIIC <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCI'lOR: ---..Block --J~ _St:eel <br /> <br />Other <br /> <br />FlBISRED FLOOR ELlWAnOllS: <br /> <br />n. <br /> <br />IS PROJEcr IB FlOOD 7.OIIE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />aJlID'RACIUR SECI'ION <br /> <br /> <br />BunDER ~ OOfIPABY <br />~ State Cert. <br />Signature ~~ --- City License Registrat:ion I <br />.......................................... <br /> <br />=:ClAII~W, <br /> <br />s~~ <br />State Cert. or Regis . , <br />City License Registration . <br />.......................................... <br /> <br />OOIIPABY <br /> <br /> <br /> <br />PUllBER ~~ OOIIPABY ~UI~II/Jt1E.J07l1~~~70e_~ <br />Stat:e Cert. or Regist. I Q 03"/71 <br />Signat:ure ~ _ City License Regist:ration I 7h <br />.......................................... <br /> <br />-"CAL~ <br /> <br />Signature City License Registration I <br />.......................................... <br /> <br />OOPIPAIIY G.I<.J V I ~ d1 <br />Stat:e Cert. or Regist:. I <br /> <br /> <br />Signature <br /> <br />OOfIPABY CD.t{ V r IJ Mi!{ 6 <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />0TIIIlR <br /> <br />APPLICATION APPROVED BY <br /> <br />11 ~ If! ~jl~ <br /> <br />PERIIIT OFFICER. <br />