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<br />08/16(1996 14:00 <br /> <br />18139481 t1E,2 <br /> <br />~3UHF~ I ~3E CiJt6TRUCT I C1H <br /> <br />PA(3E 01 <br /> <br />APPJ.J.CATlON FOR rBRMl'r <br />C {TY OP Z":VlIYRIIUI,S <br />nUlJ.LJJ.NG I)EMR1HEN'I' <br /> <br />(IHNF.R' s N^NR~.f:tJjJ'G--' <br /> <br />OWNF.R' S Af)IHH~S0 -S4ftx-Jz...; . .... A.. '.- t- <br /> <br />.JOn M>llRF,SS ~~J24:.- h ~ _ <br />~() <br />1.F,(ML UeSCR.lPTlON! 1.0'1'(8) C./7.?z~Jz. <br />( I l;. <br /> <br /> <br />-~ __P"ONE1{JZ-L~ <br />'d SJ/-.- ,a;pJ;~ H/J,'!;'!-,S"1j <br />u r;:_Jr:ih1/-fI7!/s. fiIJ . . <br />.w,,~ - sunil'." lS10N Ct.rr t) .?x;,pAy. H I tI.-s <br /> <br />PAIHJEI. J. J). f <br /> <br />~SJ.g" -----.l1ove ~VeM()lish <br /> <br /> <br />HOR.I( PROPOSIWI_New GOtl51:r.Uc::UOII _^(hlltiou __AItPt'fHlou <br /> <br />PROI'OSElJ USF.: \""';.5 i liB le FIJlIl i I y <br />-A. COml'llP. n: f 81 <br /> <br />__HIp <br /> <br />___, of UlIiLa _._HIII <br /> <br />___.._lm.l IAR t . <br /> <br />__Swlm, Pool _Othe.: <br /> <br />IJESGRlPTlON <br /> <br />___R.., '" l3.. '. ." t ~ "'( sHh l~:p"lmc" t ~ nv.1 <br /> <br />or ~ORR: ~1I2 t5tllk1L~ ~ . l;:y <br /> <br />lIei.ght <br /> <br />r <br /> <br />BU ILl" NO S I.ZE: <br /> <br />uakle <br /> <br />x_, <br /> <br />Square fe~t. <br /> <br />R.ES !DENT J.AI~: <br />CONMF.:RC1AI. : <br /> <br />^1'TM;!I (2) P,..ot PlANS & (2) SETS Of' BUILOINO PI..I\NS & (1) SET ENERGY FORMS. <br />ATTM:n (3) SETS Of BUlLOINO PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY R.E(~UIRBV FOR AJ~L NEW CONSTRUCTiON. <br /> <br />-X-nULLDING <br />_ELEGTRl<.:hL <br /> <br />PERMITS ~OU!SI~U <br />Iji, ,-7 -S I_q <br />$ (fl..)J ~ - I t(J Valuation of l'ots! Construction <br />( , <br /> <br />NIP service <br /> <br />Florida Powe~ Corp. <br /> <br />_W.R,E,C. <br /> <br />.........J ECllh N 1 GAL <br /> <br />$ <br /> <br />Vo.luaUoll of Mechanical Installation <br /> <br />PLUMBING (;A5 <br />- . <br /> <br />TYPE Of' CONSTRl/(;r ION: ~nl0CIt <br />flNISmm Fl.ooR ELEVATJO.NS: FT. <br /> <br />ROOPlNO <br />-X-Fr_~ -x'Steel <br />IS ~ROJEL7 IN FLOOD <br /> <br />Other <br /> <br />SPECIALTY <br /> <br />ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />" <br /> <br />BUll4lBB <br /> <br /> <br />COH.PANY <br />State Vert. or Resist. . <br />Caty Lic@1l6e Registration <br />.t...*t..t..................,...... <br /> <br /> <br />Signature <br /> <br />~:::& ;{ CUMPANY (# e r <br />" '. -I...~. - Sl$le Ce.... or R Slst. f <br />:- - - - - - /' A - --- City Licenos Reslstrstlon <br />.............t............................ <br /> <br /> <br />c. <br /> <br />FI.UMJlER <br /> <br />Sigllature <br /> <br />CON.P^NY~ <br />Slate Gert. or Reglst. . <br />City License Registration . <br />.......................................... <br /> <br />. . <br /> <br />tW,1L\HI GAle <br /> <br />SIgnature <br /> <br />COMPANY <br />Slale Cert. or Regist. #~, <br />City .License Registration' <br />..............**........**........*_....*. <br /> <br />.2l:1U;R <br /> <br />COMPANY <br />State Ce~l. ur Resist. . <br />City l..J.cenae Registration 1# _ <br />.......................................... <br /> <br />5igflat.~lre <br /> <br />^P~LICATION APPROVEU BY <br /> <br />PERMIT OFFICER. <br />