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<br />APPLICATION vuu PEHNIT <br />CITY OP ZEPIlYHlIILLS <br />lHJILDING iH~l'I\HnIENT <br /> <br />ilc~ /lAIII/1. <br />ADDRESS _ ?fS''1s- /J,41-/'1 ~RIJ tiE <br />UHNER II ~R m I #oPJiZS <br /># <br /> <br />JOB LOCATION LtJr:-Lfl (;./01:, RJ {)(};.,E tUA-y' L)R r <br /> <br />APPLICANT <br /> <br />.f)~, <br /> <br />PHONE <br /> <br />7?~-d~/t. <br /> <br />1.01' SlZE6~ X/t)O AREA SQ.FT, 7S-? <br /> <br />U:G1Q, DESf.RIPTlON: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />l'AHCEL l,D.lt J-02b -.2/- tJ/.?O -~O~-O'e~ <br /> <br />HUHK PHOPOSEP:_New Construction <br /> <br />_Addition <br /> <br />_Alteration _Repair <br /> <br />/ <br />_Inslall <br /> <br />_Sign/Temp. <br />PIWPOSEll llSE: ~ngle family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />_H/F <br /> <br />_I~ at Units <br /> <br />_H/II <br /> <br />_Commercial <br /> <br />_Indu6 t. <br /> <br />_Swim. Pool <br /> <br />o t he l' <br /> <br />_Restaurant & lIealth Department Approval <br /> <br />. \lUlI.DING SIZE; <br /> <br />,,---, PATfIJ~r/A--fl:-p/)R.1 SqU(H'e Feet, <br /> <br />? "ro 9" <br /> <br />lit.: i EIIl <br /> <br />IU:SIDENTlAL: ATTACII (2) Pl.OT PLANS & (2) SETS OF IHJ1UHNG 1'l.AMS & (1) SET ENEHGY FOHHS." <br />COtlNt::kGIAL: ATTAGII 0) SETS OP UUILDING l'I..ANS & (1) St::'l' ENt::HGY FOIUlS...... <br />.~COPY Of CONTRACT REQUIRED. <br /> <br />PERMITS REQUE51Ell <br /> <br />../' <br />_BlH WING <br /> <br />$ <br /> <br />J>tJtJ . ~ 0 <br /> <br />Valuation at Total Construction <br /> <br />ELECTRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />,_H.R.E,C, <br /> <br />_~tECIIANICAL <br /> <br />$ <br /> <br />Valuation at Mechanical Installation <br /> <br />_PWmnNG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />-' <br />TYI't:: Of CONSTRUCTION: _Block <br /> <br />____Frame ____Steel <br /> <br />ALt1 /It . <br /> <br />Other' <br /> <br />1'1 N I SilEO flOOR ELEVATTONS: FT. <br /> <br />, , <br />.........,................................ <br /> <br />,\lUILUfR <br /> <br />"/"h.~'-tAW1 . CON'fRACT{lli SE~rliUi <br />17~"'" compuny,l)GE J1f)J...t.( rv) . . <br />/7/1/ .A- L -.:.- StaFe Cert. or Regist. II c;..eCO",?'I6,f>cJ <br />~ City License Registration It //-D <br />.......~.*.............~.........~...*~... <br /> <br />Signature <br /> <br />liLt.::GIRI.ClJ\N <br /> <br />Company <br />State Cert. or Regist. II <br />City License ReBistr~tion It <br />...~......"........,.*.......,..**...~.~. <br /> <br />S lUlliltu r e <br /> <br />l'LUtlllFR <br /> <br />Company <br />State Cert. 0' Regist. II <br />City License Registration I. <br />.......*.*.*......***,...,......*..~~...,. <br /> <br />~~~nature <br /> <br />W:.CUAtUCAI. <br /> <br />Company <br />Slale CcrL. or Regi~t. n <br />Cl ty License HeBistnltioll II <br />.........,................................ <br /> <br />Slglluture <br /> <br />OTllER <br /> <br />Company <br />State Cert. or Regist. II <br />City License Registration II <br /> <br />S i gria ture <br /> <br />.....,.................................... <br /> <br />APPLICATION APPROVED BY <br /> <br />PERNl'l' OFFICEH, <br /> <br /> <br />pc _ '.'___, <br /> <br />:,'~tdriA.); Ii <br />'~.3 tI <br />'" <br />