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<br />~tA4 ~$ r/?S0/?/ <br /> <br />APPLICATIOIG Fbk PERKIT <br />CITY OF ~IKHIIJ~ <br />BUILDDIG J)EPARJItE'NI' <br /> <br />/q1 <br />d- ~O <br /> <br />1~~(~' <br />0/04647 <br />-J1. <br />(~rv1~p7<F ~. <br />PBOmJj%u/ I ~ 7' <br /> <br />OWNER'S <br /> <br /> <br />,... ' <br />.~ '.' . <br /> <br />OWRER'S. ADDRESS <br />.JOB ADDBJlSS~ I~ I ur~,l....th, f1<. ~ '8-/ fJ L <br />LEGAL DESCRIPTION: wr(S) BLOCIC SUBDIVISIOIM <br /> <br />.:F <br /> <br />PARCEL I. D.' <br /> <br />~teration <br /> <br />_Repair <br /> <br />Install. <br />- ~'t.,: <br /> <br />WORK PROPOSED:_5ew Construction ~tion <br /> <br />S. <br />- 19D. <br /> <br />_tIove <br /> <br />_D8t01ish <br /> <br />PROPOSED USE: Single Faaily <br /> <br />KIF <br /> <br />_' of Units <br /> <br />~/H <br />~ther." <br /> <br />_eo-ercial <br /> <br />_Indust. <br /> <br />_Swt.. Pool <br /> <br />~estaurant &: Hea1th Deparblent Approval <br /> <br />BUILDIHG SIZE: <br /> <br />x <br /> <br />~e Feet, <br /> <br />Height <br />, <br /> <br />RESIDENTIAL : <br />cotmERCIAL : <br /> <br />ATl"ACH (2) PLOT PI.ABS &: (2) SEI'S OF BUIIJ)DG PLMS & (1) SET ENERGY FO~.,~* <br />ATrACB (3) SEI'S OF BunDDG PI.AIiS &: (1) SET EHERGY FORItS. ** .' '. <br />**COPr OF CONTRACIBEQIJIRED. " . <br /> <br />PRRKTTS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />.'1- <br /> <br />F.T.F.CTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Cbrp. <br /> <br />W.R.E.C. . <br /> <br />~CAL <br /> <br />$., <br /> <br />6140.00 <br /> <br />Valuation of Kechanica1 Inst:a1.1ation <br /> <br />~IBG <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'rI05: ----..B1ock ------Yraae _Stee1 <br /> <br />.. <br /> <br />, : <br /> <br />Other <br /> <br />FIIIISBED FLOOR ELEVATIOl!ilS: <br /> <br />Fr. <br /> <br />IS P.BOJECI IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />NO. <br /> <br />II <br /> <br />****************************************** <br /> <br />CO?IIJ'I'RACI'OR SECTION <br /> <br />ampMY <br />St:ate Cert. or Regist. I <br />City License Registration , <br />****************************************** <br /> <br />BUII.D~ <br /> <br />S igoat:ure <br /> <br />ELECTRICIAN <br /> <br />ampMY' <br />S1:ate Cert. or Regist. , <br />C:ity--I.,iccnseRegist:rat'iCln f <br />****************************************** <br /> <br />Si Ptla:tore <br /> <br />Signature <br /> <br />ampARY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />PLUKBER <br /> <br />KECBAHICAL <br /> <br />Signature <br /> <br />CO!IPAHY <br />State Cert. or Regist. # <br />City License Registration , <br />***********~****************************** <br /> <br />omm ~ ampARY ~ <br />State Cert. or Regist. , <br />Signature . City License Registration , <br />* ************************************** <br /> <br /> <br />6. . <br /> <br />~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />