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<br />, , <br /> <br />APPLICATION FOR PERKIT <br />~1YOFZEPIIYRRI.U.S <br />BUlI.DI.IIG DEPAR1BEln' <br /> <br />?RF ~tJ_0~ <br /> <br />OWNER'S IWtE R~e 6u/~J' ~ C <br />/ <br /> <br />PIIORE 99",/.. ~'/? 2 -' <f12 Yo <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De.olish <br /> <br />PROPOSED USE: t~ing1e Faaily <br /> <br />_"IF <br /> <br />_' of Unil:s <br /> <br />_"/B <br /> <br />_ec-ercial <br /> <br />_Iudust. <br /> <br />_Swi..-. Pool <br /> <br />Other <br /> <br />__estaurant .. Hea1th Depart.ent Approval <br />BUILDING SIZE: 3D' X Lfy-tl:/ 13?9 ~e Feet, <br /> <br />gl <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHItERCIAL : <br /> <br />A1TAaI (2) PLOI' PLARS .. (2) SEIS OF BUII.DIRG PLUS .. (1) SET EBERGY FORMS. u <br />ATI'AaI (3) SETS OF BUII.DIIIG PlANS .. (1) SET EllERGY FORItS... <br />"'ropy OF rolfI'HACT RE'Q1JIlUlD. <br /> <br />_BUILDING <br /> <br />PElDlITS REOUESTED <br />$ 1"'&.1 tJoD Valuation of Total Construction <br />, <br /> <br />;;20 D AIIP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />---llEawuCAL <br /> <br />s <br /> <br />/ 9?S; oD <br /> <br />Valuation of Hechanical Inst:allation <br /> <br />_PLUHBIIIG GAS ROOFIIIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OOIlSI'!lUCTIOIi: _Block _Pralle _Steel <br /> <br />Other <br /> <br />FIIIISHED FLOOR ELEVATIOIiS: <br /> <br />fT. <br /> <br />IS PKOJECT III FLOOD ZOIlE AIlEA! <br /> <br />YES NO <br /> <br />.........*................................ <br /> <br />CIHO'RAClUR SECTION <br /> <br />BUILDER "~. COtPANY ;:; , 4?' '~~ <br />. .// d../ /1.'\ State Cert. 0 Regist. . <br />Signature ~~:. City License Registration , <br />'( t... ."....*.*.....*....;?.......~...:: ,. <br /> <br />ELECTRICIAN-?, cotIPANY [....O.P / e J- ~ {' C l-.i}! 7X' I ~ <br />...::::.... ~/ 7 ~ State Cert. or Regist. , I:J'DO~'L <br />S e 4 () , . City License Registration . I '7 J '-I <br />..... ................................... <br /> <br />ti" OOlIPMY 4 C . P IIA m { i.') 'J <br /> <br />~/ /J /' State Cert. or Regist. , , <br />Signature ~, "~ elL,. License Registration f I 7 Cf .:> <br />.A........................................ <br /> <br /> <br />/ <br /> <br />(,../' <br /> <br />PLlllBER <br /> <br />/..// <br /> <br />KEmAllICAL OOlIPANY 13 <br />&:1 / If ~ ...p-l./-, State Cert. or Regfst:. , 00 <br />Signature V c"-V. ;; d~Ua,;.,; ..,. City License Registration . <br />.......................................... <br /> <br /> <br />j./' <br /> <br />0T1IER COIIPANY <br />State Cert. or Reg:lst. f <br />Signabore City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />