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<br />APPL'ICATION FOR PEID1'IT <br />C'ITY OP ZEPIIYRlIILLS <br />BUILDING DEPARTl'IENT <br /> <br />ADDRESS <br /> <br />b.L. S~ G6~~e5n:~..f . <br />~77~<o ~'~';:":. <br /> <br />OWNER t1)(Li~~31'~~. <br />JOB LOCATION ~lL>J}:5IL ~ <br />LEGAL DESCRIPTION: LOT(S) ~l <br /> <br />78L.- c:z 4:Jf Z <br /> <br />APPLICANT <br /> <br />C-fbJE 'Z.~ft~E <br /> <br />BLOCK <br /> <br />LOT SIZE X AREA SQ.FT. <br />SUBDIVISION_fE:Krr10 <:) rL <br /> <br />10) Z~ Q <br />.DIU lJt7 <br /> <br />PARCEL 1. D. ~~ <br />WORK PROPOSED: ~ New Construction ~Addition _Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />____Hove <br /> <br />____Demolish <br /> <br />~M/F <br /> <br />_~~ of LTni ts <br /> <br />, __M / H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim.. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: l{5~t) ~~~ <br /> <br />J b'-:> 4::..-square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS,~'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />X BUILDING <br />-t-ELECTRICAL <br />-p-MECHANICAL <br />~PLUMBING <br /> <br />pF.RMTTS REOUESTED <br /> <br />$ S8) 50ca , valuation of Total Construction <br /> <br />~OO AMP Service' ~ Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ 2eoO. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />~Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: ~ FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR 0F.CTION <br />Company 6,L. s.-n:::NE- c..o~ ,s,"t'LV<...;{1 01'0-.\ <br />State Cert. or Regist. ij <br />City License Registration IF I PI <br />****************************************** <br /> <br /> <br />::::TR T CJ AN ~ _ ~ '~i1-'" ~,;, () Company '7-->><' uJ' I::. c.;.:c.:, '::.;2 (Lv <br />: c <~ State Certo or Hegist." U"-O ;!.l~ <br />. C'7 tur~ - - . City License Registration IF tb <br />- -- ~***************************************** <br /> <br />Signature <br /> <br />. Company' (1I1!.t's. M-1t.te. ~"'-U l11i?itU0 <br /> <br />~ 55 /loA State Cert. or Regist. !'- t: 009/- 8- <br />:.P./1 . City License Regis tration IF ~ 7 <br />, ** *** ** ********** ***.*** *** ** * 'I, ic -:, -I, 'I, 'I, 1: 'I, 'I, 'I: -!:,~ ,': <br /> <br />. PUJMBF.R <br /> <br />Signature <br /> <br />Company Lf~N~ &- "tIA!.0/,fJ1I/f.. ~4/ {. ~ <br />~ St., te Gert. or Reg is t. "~" '" J"i .", K <br />_/ ~~ . City License Registration II 7g <br />****************************************** <br /> <br />MECHAN1CA1. <br /> <br />PTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ij <br /> <br />APPLICATION APPROVED BY <br /> <br />~*************************************** <br />'" AU'1 -.f'i 0 M"^r . <br /> <br />PEIlilIT OFFICER. <br />