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<br />. ' <br /> <br />APPLICATIOllil FOR PERMIT <br />CI'IY OF ZEPIIY.RIIILLS <br />BUILDllIG DEPAImPIEN'T <br /> <br />OWNER'S <br /> <br />NAKEI fl-(l, k I ,;- <br />ADDRESS~cr; 9' <br />SfJ/1'1 E <br /> <br />/./oLL~1tJ Bt:e)c <br />I< 1112 tv1J It C!.. T <br /> <br />molfE~3- 7~-3ajr <br />::2 cTlflylLflt /lr I r .L <br /> <br />OWNER'S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: UJI'(S) <br /> <br />BLOCIt' <br /> <br />SUBDIVISIOllil <br /> <br />PARCEL I. D. t <br />WORK PROPOSED: /l8!ev Construction ~tion _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_ne.olish <br /> <br />PROPOSED USE: ' <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of Ufnits <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Stria. Pool <br /> <br />Other <br /> <br />_Rest:aurant &- Healt:h ~t Approval <br /> <br />BUILDING SIZE: <br /> <br />/0 X 8" , <br /> <br /><go <br /> <br />Square Feet, <br /> <br />~ <br /> <br />~J <br /> <br />Height <br /> <br />_ RESIDEIfTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOI' PLAIIS &- (2) SEIS OF BUILDING PLAJlS &- (1) SEf ENERGY FORKS. ** <br />ATTACH (3) SEI'S OF BUll.DDiIG PLAJlS &- (l) SEf mmRGY FORKS. ** <br />**COPI' OF COllilTKACT RIlQ1lJIRIlD. <br /> <br />PERI/IITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />lIDOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FraIIe _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOllilS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />***~*************************.************ <br /> <br />COJn'RACI'OR SECTION <br /> <br />BUILDER CO!tPANY <br />St:ate Cert. or Regist. I <br />Signat.ure City License Registration I <br />************************~***************** . <br /> <br />ELECTRICIAN CO!tPAIMY <br />St:at.e Cert.. or Regist. , <br />Si~at.ure City License Registration I <br />****************************************** <br /> <br />PLUKBER CO!tPMY <br />State Cert. or Regist. , <br />Signature City License Regist.ra~ion . <br />****************************************** <br /> <br />KECllANICAL CO!tPMiY <br />St:ate Cert. or Regist. ,I <br />Signature City License Registrat.ion I <br />****************************************** <br /> <br />O"I"IIF.R aJ!IPMY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />