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<br />APPLIC..A"1:....Viil POI PERHIT <br />CITY OF' ZEl'if'i'.kHILLS <br />BlITLDI.BG DEPAR'l'IfE'Rr <br /> <br />OWNER · S <br /> <br />NAHEJI6l( 1< u.Jl (L <br />Po tSO>c 3D3e>""3' <br />;V 0 f2--rH <br /> <br />F'ooD <br /> <br />510 i?65 mmffl <br />( -rn m PA \ F"L-. :.33&>30 <br />~A-LL- ffLJb <br /> <br />8 i 3- E:>75" - C\~ 2.13 <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />~D20 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />B.L.Oc:K <br /> <br />SIDBDIVISIOINI <br /> <br />PARCEL LD.# <br /> <br />h"ORK PROPOSED :_lNIew Construction <br /> <br />~ <br /> <br />_Addition <br /> <br />--:;: - <br />_ft.Lterat1on <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Hove <br /> <br />_DatOlish <br /> <br />PROPOSED USE: Single Faaily <br />~rcial <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_Indust. <br /> <br />_SwI.. Pool <br /> <br />Other <br /> <br />_Restaurant &: Hea1t:h Depan::.en\t Approval <br /> <br />BUILDING SIZE: ~l0 X toD , <br /> <br />1-;770 <br /> <br />Square Feet. <br /> <br />l'El <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />A'ITACB (2) PLOT PLMiIS &: (2) SEIS OF BUILDING PL.OS &: (1) SET ENERGY FORMS. u <br />ATTACH (3) SETS OF BUILDDlG PLUS &: (1) SET ENERGY FORKS. *'" <br />**COPY OF CONTRACT REQummo. <br /> <br />~ING <br /> <br />$ <br /> <br />PERKITS REQUESTED <br />SS:-OO. CO Valuation of Tot:a1 Construction <br />I <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlfiCAL <br /> <br />s <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING GAS <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />ROOFDiG <br />_Fr:me ~el <br /> <br />SPECIALTY <br /> <br />.. <br /> <br />Other <br /> <br />/' <br /> <br />FINISHED FLOOR ELEVATIONS: FT . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />DJlfn'RACIUR SECTION <br /> <br />BUILDER <br /> <br /> <br />\ OO'!IPAW 5fE'€t-Ie:e- f7lF&'. 1/l,J~. <br />State Cert:. or Regist:. 4# CG-O bS' 410, <br />City License Registration !If 316:;; <br />***************~************************** <br /> <br />Signature <br /> <br />ELECTRICIAH <br /> <br />CO!IPANI'Y <br />State Cert:. or Regist:. , <br />City License Registration , <br />**********************~******************* <br /> <br />SiPn:lture <br /> <br />PUllKBER <br /> <br />COIfPMY <br />St~te Cert. or Regist. , <br />City License Registration I <br /> <br />Signature <br /> <br />~~~~4!-~'1!'~~'1-'~..':'7~~A.J;'_};.~;;'..;:..~~:~,,,.. .,,"::~-: -:"'..:'~~-!"-~"",,,,,,,:!:+~-!:,,,*~*+ <br /> <br />MECHANICAL CO!tPAlifi <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />0'l1IER CO'lWANI'Y <br />State Cert. or Regist. , <br />Signature City Liceuse Registration , <br />******************~~********************** <br /> <br />APPLICATION APPROVED BY PERKTT OFFICER. <br />