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<br />APPLICATIo.N FOR PER!U'i.' <br />CI'lYo.FZEmYRIIILLS <br />BtDILDI8G DEPAR'DtE'RT <br /> <br />OWNER'S liAKE <br /> <br />LY/l/1 <br />6/ j I <br />I,ll <br /> <br />J ~~/f~i1- <br /> <br />L <br /> <br />,]- Oil, 5/ <br /> <br />PHOn: <br /> <br />,If /~;/?~} --5~} ? <br /> <br />, / <br /> <br />OWNER'S ADDRESS <br />Jo.B ADDRESS G <br /> <br />LEGAL DESCRIPl'Io.N: LDr(S) <br />PARCEL LD.' () J-- J- & ''-)- I <br /> <br />BI..OC:K <br /> <br />SUBDIVISIo.N <br /> <br />0/90-00000 <br /> <br />011/::) <br /> <br />WRK PROPOSED:_lIev Construction _Addition -1.L..A1teration _Repair _Ins t:a II <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PRo.POSED USE: <br /> <br />I / Single Faaily <br />- <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />o.ther <br /> <br />_Restaurant 5: Bea1t:h ~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height: <br /> <br />RESIDENTIAL : <br />COttttERCIAL : <br /> <br />AtTACH (2) PI.OI' Pl.MS 5: (2) SEI'S o.F BUllDING PLANS 5: (1) SET ENERGY Fo.RMS. ** <br />ATTACH (3) SEI'S o.F BUllDIIIG Pl.MS 5: (1) SET ENERGY FORMS. ,U <br />**COPI' o.F COI!i1TRACT RllQm:RED. <br /> <br />_BUILDING <br /> <br />,...~TSREOUF.STED <br />$ {) 7{ ~ 7, ~U'" of Total. Oooshuctioo <br /> <br />_ELECTRICAL <br /> <br />AIfP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_tlECllAlUCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALn" <br /> <br />TYPE o.F CONSTRUCTIo.N: _Block _Pralle _Steel <br /> <br />o.ther <br /> <br />FINISHED FLOOR ELEVATIo.NS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD Zo.NE AREA? <br /> <br />YES NO. <br /> <br />******************~********************** <br /> <br />aJlITRACIOR SHCJ'Io.N <br /> <br />BUILDER <br /> <br />COItPANY <br />State Cert:. or Regist:. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COIIPMY <br />State Cert:. or Regist:. :fI/; <br />Ci~ ~icense Registration , <br />****************************************** <br /> <br />Sil!'nRture <br /> <br />PLUKBER <br /> <br />COIIPAIIY <br />State Cert:. or Regist:. :/# <br />City License Registration , <br />****************************************** <br /> <br />Signat:ure <br /> <br />KECllAlUCAL 7 <br />/~ <br />/ - '/1' <br />Signat:ure -,l,1./L.~~ ~ <br />1/ <br />f/ <br /> <br />r <br />. - -'1 COItPABY tJ/l.CJ v/?'" /I <br />State Cert. or Regist. I C <br />1t/~_, City License RegistraUon I <br />***************************~************** <br /> <br /> <br />9(4-('/J 7 <br /> <br />0T1IER. COIIPABY <br />State Cert. or Regist:. , <br />Signat:ure City License Registration I <br />****************************************** <br /> <br />APPLICATIo.N APPRo.VED BY PERKIT o.FFICER. <br />