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<br />APPLICATIOH Foa PERKlT <br />CITY OF ZEPIIYlUlIu.5 <br />BUlLDIJIG DEPAR'tlIBHT <br /> <br />f~;)').-'1g' <br />PRONE (8 13 ') '1<l~.. ~'1q4 <br /> <br />owa's HAHE <br /> <br />EI L~J.J HI::..~A^, <br /> <br />OWIIEB. 'S ADDJlBSS <br />JOB ADDRESS 3<6531 5ib AveNUE" <br /> <br />-z..E'PH ~R HI u...,'S <br /> <br />LEGAL DESClU.PTIOH: I.OT(S) <br /> <br />BLOC1L.-SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAII FROK PROPERTY TAX HOTICE) <br />~ <br />won PROPOSIID:____ew CoDstructioD -.-Addition ---.A1teration -6epair _Install <br />f <br /> <br />---1Jian <br /> <br />--Hove <br /> <br />----Peaolish <br /> <br />PROPOSED USE: ~~le 'aaily <br /> <br />~/F _' of Units ~/B' <br /> <br />_ec-ercial <br /> <br />_Induat. ---1Jwia. Pool _Other <br /> <br />---,estaurant II Health Departaent Approval <br />-DESCRIPTIOII OF WOH: 'RE"- ROO~ EX: I&T,,\I~ J.Jb",e:" <br /> <br />BUlLDIIIG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEllTI.AL: AnACII (2) PLOT PLAIIS II (2) SETS OF BUlLDIIIG PLAIIS II (1) SET BllBIlGY FORMS. <br />COItKBIlCIAL: "nACII (3) SETS OF BUlLDIIIG PLAIIS 1& (1) SET EIIERGY FORMS. <br />PROPEB.TY SURVEY IlBQUIJtBD fOil ALL IIEW COIISTIlUCTIOH. <br /> <br />~\S~~~ . <br />~UlLDDlG .. ')()(:)-") Valuation of Total Construction <br /> <br />RI.RCl'IlICAL AIIP Service Florida Power Corp. <br /> <br />. PERKI.TS REQUESTED <br /> <br />W.R.E.C. <br /> <br />----llBCIIA1IJ.CAL <br /> <br />.. <br /> <br />ValuatiOll of IIecbanical Installation <br /> <br />~DIG GAs IlOOfUG <br /> <br />SPECIALTY <br /> <br />TYPE 9F OOIlSTIlUcnOIl: ____.Block --"r_e ~teel <br /> <br />Other <br /> <br />FUlSBBD FI.OOIl ELEVAfiOIlS: <br /> <br />PT. <br /> <br />IS PIlO.JBCT III FLOOD ZOIlB AJlEA'I <br /> <br />YES 110 <br /> <br />................................,......... <br /> <br />Sipature <br /> <br /> <br />COIlTRA.CTOH. SECTIOH <br /> <br />mHPAIIY ~UNN II\J 6 J4.11tn c.oNS"~U.c.. -n 0;../ <br />State Cert. or Re8ist. . <br />City License Registration . ? '7 <br />................*.**.................... <br /> <br />BUILDER. <br /> <br />PLUNBBR ' <br /> <br /> <br />COHPAIIY <br />State Cert. or Ilegist. . <br />City License Re8istration . <br />~.................................... <br />\€ J <br />~ 1) COHPAHY <br />Vi State Cert. or Ileaist. . <br />City Liceoae Ilegistration . <br />......................... <br /> <br />RI.RCTRTCIAIII <br /> <br />stAft.ture <br /> <br />Sianature <br /> <br />..~ <br />r . ~< <br />fI,.,"1\f(:.. ,- c"\ " ' <br />HECRARICALt>r (" ""'~ <br />~~" <br />o.~\\..Q <br />Signature v <br /> <br />COKPAIIY <br />State Cert. or Regist. . <br />City License Re8istration . <br />.......................................... <br /> <br />OTRR1l cotIPAHY <br />State Cert. or Realst. . <br />Sianature City License Ileaistration . <br />.......................................... <br /> <br />APPLICATIOII APPROVED BY PERHlT OffICER. <br />