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<br />APPLICATION ffiii', PElmIT <br />CITY OF ZE:PIlYRllIU.5 <br />BUILD] lNIG II)FPARl'KE:lNIT <br /> <br />OWER'S <br /> <br />NAME If/diu;"' s-2~~t <br />C' (./ <br />ADDRESS~.....'" <br /> <br />mONE <br /> <br />/'f2 /27& <br /> <br />OWNER'S <br /> <br />LEGAL DESCRIPTION: WI'(S) <br /> <br />d::J- <br /> <br />BI.OCK <br /> <br />..3 /70 ( 71,<.."" I . cD, c. 1/~ (6) <br />'1 , / <br />SUBDIVISIOlNl ,~/L /~./.j-' <br />~ <br /> <br />JOB ADDRESS <br /> <br />.1....-'7 #' ';;;J- <br />. <br /> <br />~e.4A L .41./c <br /> <br />PARCEL LD.# ~;J.;J 6 - ;;)1- ~ 3,0 -e:;~oc 0 -C) "2-/.-0 -. <br /> <br />IroRK PROPOSED:~ew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single F3lIIily <br /> <br />_"IF <br /> <br />_, of Units <br /> <br />~/H <br /> <br />_CoBaercial <br /> <br />_IndUlSt. <br /> <br />_SW1... Pool <br /> <br />Other <br /> <br />_Restaurant & Health Depar1:llent Approval <br /> <br />BUILDING SIZE: db'f X Y'f~" <br /> <br />I~'? <br /> <br />Square Feet, <br /> <br />.IV/#- <br />. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. U <br />ATTACH (3) SETS OF Bm:UlUIG PLANS & (1) SEI' ENERGY FORKS. ** <br />**COPr OF COI!ITRACT REQ[JJ1BED. <br /> <br />PEmnTS RROUE..<iTED <br /> <br />~BUILDING <br />~ ELECTRICAL <br />'* MECHANICAL <br />~PLmmING <br /> <br />$ <br /> <br />....3 qJ, )ftH <br /> <br />Valuation Df Total ConstructiDn <br /> <br />/\11 AKP Service <br />. <br /> <br />/ d:.5>'V <br /> <br />__Flcrida Power Corp. <br /> <br />~W.R.E.C. <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />- GAS <br /> <br />- ROOFING <br /> <br />SPECIALIT <br /> <br />TYPE OF CONSTRUCTION: --Block. --='TaJIie ----.:...~t:eel <br /> <br />Other <br /> <br />FInSHED FLOOR ELEVATIOJNIS: <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />-- FI'. <br /> <br />IS PROJECT IN FLOOD zmn: AREA? <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />OOlNJTRACTOR SECTION <br /> <br />OOHPANY 13.~~Ltd h <br />State Cert. or 'gist. # <br />ity License Registration # <br />*~**************************************** <br /> <br />AtHr S~, <br />~' <br /> <br />Jot:. <br /> <br /> <br />ELECTRICIAN aMfPMY c',. 4. ~"^_ --aA.z;:..__ <br /> <br />Si"""~fb.<t6I~.... 4J/~~~;\~:;'eO;e:~:~i:'" 3< 11 /10 <br /> <br />*******************~********************** <br /> <br />PLUKBER Q , L jJ _ 00 cmtPANY ~ /~~ <br /> <br />~ ~~ State CerL Dr RegisL #f <br />Sigoatur~" ~ City License Regist.ration , ~_~ '7?o <br />~ *****t**~*~*~******t********************** <br /> <br />KECHANICAL ." CO'!tPANY ~~/~,~ 'k, <br /> <br />Signa";~L~JM-..~ :~;'L~~:~~eO;':~;~::~i:n I ~ tl <br /> <br />**************t**:*********************** <br /> <br />O.L <br />J6'4 <br /> <br />011IER cmIPMIfY <br />S~ate Cert. or Regist. t <br />Signature Ci~ uicense Regist.ration #f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERHIT OFFICER. <br />