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<br />--.'--"--- 'l~4~1:.~ <br /> <br />7 ~~ 3 'f:) ~ c?/#- <br />U//<1.y ~ ~ <br /> <br />, OWNER'S NAME <br /> <br />.~U(,j 9--7/-9j.- <br /> <br />P/15tPt/~/E d&x/d/o PIIONE' 5'2:j-/4'cJ7 <br /> <br />OWHER'SADDRESS JjJ%5'-3 6'u;ucdJ~~ 2)/9p~ b/rYL:tr~ 3352,5- <br />'iL + If' 1./ . I ~ -~..3 6 -S d... YO -. /" . <br />/ C d.. ..f- I '!A--it u -:? &-h Y.:t +- J 8-" Y b - ~' ~ . <br /> <br />LEGAL DESCRIPTION: LOT(S) II -:<.- b-rJ-/ -B~~~&rsf~YD <br /> <br />//-2.6 -.2/ -C~)/c-/~~--Cyg() <br />.c. <br /> <br />APPLICATIOIill FOR PERliiIT <br />CUY OP ZEPIlYRIIILLS <br />nIDLDIEG DHPARIHRm' <br /> <br />JOB ADDRESS <br /> <br />PARCEL I. D.# <br /> <br />WRK PROPOSED:_lMew Construction <br /> <br />~dition _AlterationXRepair <br />, <br /> <br />LInstall <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De-.olish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of Units , <br /> <br />_M/H <br /> <br />_Co8aercial <br /> <br />_Indust. <br /> <br />_Swlli. Pool ' <br /> <br />Other <br /> <br />_Restaurant: & nealt:h Depart:Jlent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHKERCIAL : <br /> <br />AlTACH (2) PLOT PLAHS &: (2) SEIS OF BUlJ..DING PLANS &: (1) SET ENERGY FORKS. ** <br />ATl'ACII (3) SEIS OF BUILDING PLAHS &: (1) SET ENERGY FORtIS. ** <br />**COPY OF CONThAGl' REQlBIRIlD. <br /> <br />PERKI1S REQUESTED <br /> <br />~UILDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Constrvction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1fECHAHlCAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />~UHBIHG GAS <br />TYPE OF CONSTRUCTION: ~Block. <br /> <br />X ROOFING >< <br />/ <br />_Pralle _Steel. <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIIIISHED FLOOR EI..EVATIOIWS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? -X- <br />YES NO <br /> <br />****************************************** <br /> <br />PUIWER ~ <br />Signature . ... <br /> <br />m1URAC1UR SECTION <br /> <br />~ G@J&'A! :/0#/; -l>~~61-'T <br /> <br />~ ~r ~te ~rt. or R~gist. .' C c;: ~ 00 ,~(D '1' S- <br />C1 l.cense Regl.st:ratl.on , ;)..)... <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />CWlPANY <br />State Cert. or Regist. , <br />City License Registration t <br />********~:******************************* <br /> <br />Silmature <br /> <br />PWKBER <br /> <br />- <br />" <br /> <br />c:mfPANY <br />S ta t:e Cert. or Regis t:. , <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL C01IPANY <br />State Cert. or Regist. I <br />Signature City License Registration I ' <br />****************************************** <br /> <br />0'T1IER C02fPARY <br />State Cert. or Regist. # <br />Signature Ci~ License Registra~ion , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />