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<br />APPLICATIOllil FOR PERKI'l' <br />CITY OF ZEPllYRBILLS <br />B1llI.DTIiG DEPARI!IEIIilT <br /> <br />OIftIER'S ADDRESS G <) ?-u Q, d cl eRA <br />~S l \ 0 C \2- 54 <br /> <br />I"1:,r-\- klC~'-1 <br />\ <br /> <br />PRONE 64 (- g 1\ '3 <br />r= L 31ft.. L,. ~ <br /> <br />OWRER'S JIAttE?ASCCl C(]Ut0\~ P.t>~s~ QEC/2..~(b('-t <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'IOII: I.OI'(S) <br /> <br />BLOCK <br /> <br />SUBDIVISIOR <br /> <br />PARCEL I. D. t <br /> <br />WRK PROPOSED:_llilev Construction .-JYIdition _Alteration _Repair _Install <br /> <br />~Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single F3Iri.1y <br /> <br />.,_K/F <br /> <br />_' of Units <br /> <br />_K/B <br /> <br />_ec-ercia1 <br /> <br />_Indust. <br /> <br />_Swa. Pool. <br /> <br />Other <br /> <br />_Restaurant &: Hea1th Departaeo.t Approva1 <br /> <br />BUILDIBG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />. RESIDENTIAL: <br />cottItERCIAL : <br /> <br />A'l'TACII (2) PLOT PI.ARS &: (2) SEI'S OF BUIIJllliG PLUS &: (1) SET ENERGY FORKS. ** <br />A1TACH (3) SEI'S OF BlJILDIIlG PLUS &: (1) SET mmRGY FORKS.** <br />**OOPY OF OOIITRACT RIlQ1BIRED. <br /> <br />PIf.RKTTS REODES'jrED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />F.T.F.cnuCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAlUCAL <br /> <br />$ <br /> <br />Va1uation of Hechanica1 Installation <br /> <br />_PLUKBIBG GAS KOOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF mNSTRUCTI01'i: _Block _F'raIIe _Steel <br /> <br />Other <br /> <br />FIJiISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT Di FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />***.*******************-a:*-a:*lt*****-a:*-a:-a:-a:*-a:** <br /> <br />COJIII'I'RACIOR SECTION <br /> <br />BmTJlF.R _ S \ is ~" COI!tPARY 8.t>,QJ,..}E.c; S \ 6 t-.J ~ 0 <br />~ ///1 I State Cert. or Regist. 41 RY- 00 ~d-'3d-O <br />Signature f/'uZU.JA y /~.zlyv- City License Registration f: 0 f;)- ;speLl ~L-\'\ <br />***-a:*~*-a:****........****-a:-a:-a:**-a:-a:-a:-a:-a:****-a:*-a:****-a: <br /> <br />Silmature <br /> <br />COI!tPANY <br />State Cert. or Regist. I <br />City License Registration t <br />*AAaaa.*********-a:************-a:*******-a:**** <br /> <br />ELEcnuClAlf <br /> <br />COI!tPARY <br />State Cert. or Regist. I <br />City License Registration f <br />*****************************-a:****-a:******* <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />COI!tPOY <br />State Cert. or Regist. f <br />City License Registration I <br />**********************-a:-a:*********-a:-a:-a:**-a:-a:** <br /> <br />tlECHAllICAL <br /> <br />Signature <br /> <br />0T1IRR <br /> <br />~ <br />Signature 'Z//tL4d. <br />./ <br /> <br />~ COI!tPMY &12-~,"-\bv\.aJ t-6~ (::::.v GP <br />4..1</ L State Cert:. or Regist: - I C (-9 C A I '1f=DI <br />~/~/~ City License Registration:f .5t.tg <br />********-a:****************-a:**************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />