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<br />APPLJ:CAYIOIil FOR PEl\i;UT <br />CI'IY OF ZEPHIKH.l.US <br />BUII.DI1IG DEPAlrn'IEIilT <br /> <br />OWNER'S IWIE )) d Vl(8 tFJ D J.. Ii I ~ e.. YYJ 11- e;FJ f' PHONE <br />OWNER'S ADDRESS ~ (;, I g ~h J' /1? 0" .t9 0 fi , <br />JOB ADDRESS '2 f' PU y,f? j..}) 21 ~ ~ 1- <br /> <br />'7t38' - .</7~ <br /> <br />I-=? 3,~ Z} I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~7 <br />, <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />,SJLVEI1 <br /> <br />t7~ J-r ~ <br /> <br />PARCEL I. D. t <br />WRK PROPOsm:-i-Jlew Construction ~tion _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />~ve <br /> <br />_Deao1ish <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_, of Units <br />.$Swia. Pool <br /> <br />_K/H <br /> <br />PROPOSED USE: <br /> <br />Single Faai1y <br /> <br />_KIF <br /> <br />Ot:her <br /> <br />_Restaurant &: Hea1t:h Depart:aeo.t Approva1 <br /> <br />BUILDIIIG SIZE: <br /> <br />x <br /> <br />~re Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cottItER.CIAL : <br /> <br />ATTACH (2) PLOI' PLAIIS &: (2) SEI'S OF B1JIIJ)DfG P1AI!i1S&: (1) SEI' ENERGY FORKS. ** <br />ATI'ACH (3) SEI'S OF BUD.DIJiG PI.DS &: (1) SET EI!i1RRGY FORMS. ** <br />**OOPY OF OOIITRACf lUlQlJJIRED. <br /> <br />-i-BUILDIIIG <br /> <br />$ <br /> <br />PERlfITS REOUE:iTED <br />) 3, /J () tl () 0 Va1uation of Tot:a1 Construction <br />, <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />--t.-Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />KECllANICAL <br />.- <br /> <br />LPLUKBIlfG <br />TYPE OF OOIlSTRUCTION: _Block _Pralle _Steel <br /> <br />$ <br /> <br />Va1uation of Kecbanica1 Installation <br /> <br />GAS <br /> <br />ROOFIJi4; <br /> <br />SPECIALTY <br /> <br />Or-her <br /> <br />FIIIISHED FLOOR ELEVATIOIilS: <br /> <br />PI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BmUlER <br /> <br />COllI'I'RACIOR SECTION <br /> <br />r- OOI!tPAn . jJ~:T~ P, P 1- Ct). <br />() . I! . 09. ., / JJ State Cert. or Regist. I Ff tP p ~ z.; _9 ~ ~ 7 <br />~/l ~ Cit:.y License Registration I ;;. <br />**************************************** <br /> <br />Signature <br /> <br />Sismat:.ure <br /> <br />OOI!tPARY <br />State Cert. or Regist. 1= <br />City License Registration I <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />PLOKBER <br /> <br />(;';- OOI!tPOY .1) tR ~1 e; . ~~ L <br />~ ~ Zk Sta'" Cert. or Regist. # fliP "" <br />. :t n City License Registration I <br />****************************************** <br /> <br />C#. <br />99R97 <br />/::( <br /> <br />Signat:.ure <br /> <br />COIIPA8Y <br />St:a.te Cert. or Regist. I <br />___._ City License Registration I <br />****"1i:**fr..1 ;....,*.,.,,~.,.,.,J-************************* <br /> <br />!tECIIAIfiCAL <br /> <br />Signature <br /> <br />Signat:.ure <br /> <br />WKPAWY ,q Je frJ } /l/ r; "T r / .Bi-'1-</':). J /YJ/ fi:J <br />State Cert:. or Regist:. '_. '7 . <br />City License Registration , __ 7~ -__ <br />*******~~****~***.***~****~~************** <br /> <br />nT1fIl:R <br /> <br />APPLICATION APPROVED BY>> ~~~ ~",r <br /> <br />PERKIT OFFICER. <br />