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<br />APPLICATIOH :fOR PHRKIT <br />GI'IY OF ZEPHIKH II.T.S <br />BUIIJlIliG DEPAR'I!tEXl" <br /> <br />OIIRI'JI'S IlAIIE tV~?f1L~ <br />~~R:~~~ ~~ C4~~, <br /> <br />mORE <br /> <br />7~.:2- --7/0 ?- <br /> <br />, <br /> <br />LEGAL DESCRIPTIOJI: IJJI'(S) <br /> <br />llLOCIL-SUBDIVISIOH <br /> <br />PARCEL I. D. t <br /> <br />WORK PROPOSED:_llev Con:st:ruction _Addition _Alteration _Repair <br /> <br />V;:-~tall <br /> <br />_Sign <br /> <br />_lIove <br /> <br />_Deaolish <br /> <br />'+/~ ~X:;-t <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />.' _fl/F <br /> <br />_, of Units <br /> <br />_KID <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />---:Restaurant &: Health ~t Approval <br /> <br />BUILDIJiG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />.. RESIDENTIAL: <br />cotmERCIAL : <br /> <br />ATTACH (2) PLOI' PI.AlIIS &: (2) SEI'S OF BUIIJ)DiG PLUS &: (1) SEl' ENERGY FORMS. ** <br />ATTACH (3) SEI'S OF BUllDUG PLUS &: (1) SET EnRGYFoRHS. ** <br />**roPY OF roH'I"RACT ~. <br /> <br />PERKITS :REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />A!IP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br /> <br />$ :/ t/ j--2 ' C:-3 <br /> <br />Valuation of flechanical Installation <br /> <br />_PLUKBIBG GAS ROOFDlG <br /> <br />SPECIALTY <br /> <br />TYPE OF roNSTRUCTIOH: _Block _Fraae _Steel <br /> <br />Ot:her <br /> <br />FDlISHED FLOOR ELEVATIOHS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*********~....************************** <br /> <br />COlII'RACI'OR SECTION <br /> <br />aJIIPMY <br />State Cert. or Regist. , <br />City License Registration , <br />******~*********************************** <br /> <br />8mT .DF.R <br /> <br />Signature <br /> <br />Si.-n::llture <br /> <br />COIIPMY <br />State Cert:. or Regist:. , <br />City License Registration t <br />..AAA.**~*******~********************* <br /> <br />ELECTRICIAN <br /> <br />PLOttBER aJIIPMY <br />State Cert. or Regist:. , <br />Signature City License Registration f <br />****************************************** <br />. ( <br />ttEaft\IIICAL g OOItPMY ~ /t//i-V (' <br />;/ ~ State Cert:. or Regist.' RAfi. D (') / ~ 96 I <br />Signature~. A -I<.II1..<J{;; eUy License llegistration. i. <br />. /' ****** ********************************** <br /> <br />COIIPDY <br />State Cert. or Regist. " <br />City License Registration , <br />*********.*****~********************.*** <br /> <br />OTRF.R <br /> <br />S ignat:ure <br /> <br />APPLICATION APl~OVFJfJrr <br />f.... <br />..,' ';'1. ',' <br />) t ( '. <br />lit ....".; ~ <br />t tl .. <br />~~~"""~~"-~'" ,~"y",~"","".,~..,;..'. . <br /> <br />~ ..oEEl.CD. .~, <br />f- .c;M' $ <br />\ fT"-:l -~ ; \of;~ <br /> <br />. ~i!IA~., .. <br />'t' .i" t1V f -,:. '" <br />,. l" ,J.- <br />_fl. '.:......_........... <br />~.....~1ltI. ...~~'"... <br />