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<br />.... ~ .' <br /> <br />APPLICATION FOR PEBKlT <br />CITY OP ZEPIIYRBILLS <br />BUILDIRG DEPARTKBRT <br /> <br />OWHER'S RAIlE DiS~LJl.)I..j r /::>.uTO f?Af2 ,S ** s4 f2- PHONE f313j667 - () 2. ZC; <br />OWNER'S ADDUSS 4CJOO FRor-J TAc:.E. t2DAD LA.VE'LA.ND; ~L 3380 \ <br />JOB ADDRESS ~~ ~ g 7 L!f ~ 6? (J.d . '- <br /> <br />LEGAL DESCRlP'rI.OR: LOT(S) <br /> <br />B~SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM. PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:...K....Rew Construction -----Addition ~teration ___epair _Install <br /> _Sign ~ve _Deao1ieh <br />PROPOSED USE: _Single Faai1y ----1f./F _' of Units ~.IH <br /> -$.,...eo-ercial . _Indust. _Swia. Pool _Other <br /> <br />---Restaurant & Health Departaent Approval <br /> <br />DESCRlP'rI.ON OF WORK: I\lt::W ~e... ,po.. \ L ,o.UTO P~fZ.. T S sTi:>~E. <br /> <br />BUI.LDIRG SIZE:.JIJ X IOf), (.,OOO Square Peet, /ltJ' Height <br /> <br />RESIDENTIAL: ATTACH (2) PI.O:l' PLANS &(2) SETS OP BUI.LDIN,G PLANS ~ '(1) SET QERGY PORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDIRG PLANS & (1) SET ER.ERGY FORMS. <br />PROPERTY SURVEY REQUIRED ,FOR ALL NEW CONSTRUctION. <br /> <br />...f...-y.UILDIRG <br />X RI.RC'l'RICAL <br /> <br />$ <br /> <br />PERKITS REOUESTED <br />/60,O{J{) Valuation of Total Construction <br />, <br /> <br />400 AIIP Service Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-2UmCIIABICAL <br />.1-PLUtlBDiG <br /> <br />$ <br /> <br />7200 <br /> <br />Valuation of lIecbanica1 Installation <br /> <br />GAS <br /> <br />x <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRucnON: -2L...Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />PIIIISIIED FLOOR ELEVAnOIiS: <br /> <br />Fr. <br /> <br />IS PROJ~cr IR FLOOD ZOBE AREA! <br /> <br />YES NO <br /> <br />..................:a.~..................... <br /> <br />Signature <br /> <br />1/m' . ~~ <br />/1 <br /> <br />/ " ",.,r-/--- COKPAIIY WtJ Hi t..L LON S TRU'::" T ION <br />~,0 V State Cert. or lle8ist. . <..c..c.. OI~SO'5 <br />.' , City License Registration . /-3 S <br />.......................................... <br /> <br />BIITT.DRR <br /> <br />RI.RCTlUCIAIi COMPANY "Bn'~.p K... E...L Iii' ~ c 2. ~e.- ' <br />I, /J t~/l/' State Cert. or Regist. 'U oa-o ?$L9? <br />SiA'flAture ~~ If. /Yl 'L.-. . i/-fl. City License Registration' ~3 ~ '-I <br />~ .. ..................................... . <br /> <br />PLUMBER ~ CllIlPAn ~ ""!.Lon ~ -r Pil ~ 1M blr\~ <br />I\~ /]\ . State Cert. or Regist.' r:-CO 'I;). ~ <br />Signature l.A..f)I)..Q_~,J..J~}.~~ City License Registration' , \ <br />.........\jr.............................. <br /> <br />HECllAHlCAL k ~ANY CCN-IAJZ..\ Al J2. CON D I T IoN I N G- <br />.d ~ -- State Cert. or Regist. . C-AC- 0 z.. 70 2- f, <br />Signature _~ City License Regietration f /6;L <br />.......................................... <br /> <br />Signature <br /> <br />~ CllIlP.un: m/..I>tll a.1V~"<.(10N. IA! '- <br />, ~. St:ate Cert. or Regist.' R(/JlJC,521t:; <br />. City License Registration' 'J..7 <br />.......................................... <br /> <br />nTRRR <br /> <br />APPLICATION APPROVED BY <br /> <br />'11 ~A~ )11--~ <br /> <br />PERKIT OFFICER. <br />