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<br />'\ <br /> <br />APf'LIC.\.TIOII Fm~ 'PmmI.T <br />CI'IY OF ZEPIiYRIIILLS <br />BUTIJUJIG DEPARnItJ1tIT <br /> <br />JOB ADDRESS <br /> <br />'/JET50R,II/1 <br />,~) r?'C> / 7 <br />N~l'7#- <br />, <br /> <br />;tJ II I;JE k <br />t:-; l. /) \.~I A-. <br /> <br />moNE <br /> <br />7 K::) '-cS(0GY4 <br /> <br />"7 c' J<J A I//(l/;/;~/) , <br />I / <br /> <br />;.::-/ <br />f L, <br /> <br />OWNER'S IiAttE <br /> <br />OWNER'S ADDRESS <br /> <br />AvE, <br /> <br />;..C::/.dzz;~p~ <br /> <br />LEGAL DESCRIPTIOI!I: wr(s) BUJCK SUBDIVISIOllW <br />~CEL I.D~ / /- ~(p - r-:(/ - 012 / 0 -/-s-9~(J - 0/30 <br />WORK PROPOSED :'--lIew Construction 1.Jddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: 'l Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indost. <br /> <br />__.SwiII. poo1 <br /> <br />Other <br /> <br />-..Jlestaurant &: Hea1th ~t Ap-prova1 <br />BUILDDfG SIZE: is-IX \.~a/ 7-~{) f Square Feet, <br /> <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COItItERCIAL : <br /> <br />A1TAGII (2) PLOI' PI..OS &: (2) SEIS OF BUTIDDiG PLAIIS &: (1) SEI' ENERGY FORKS. ** <br />ATI'ACII (3) SEIS OF BUllDIIiG PLUS &: OJ SEI' ENERGY FORKS.** <br />**OOPY OF OOwrRACT 1UlQ1:lllhID. <br /> <br />PIf.RMTTS REOUESTED <br /> <br />_BUILDDfG <br /> <br />$ <br /> <br />!J'~ ['() <br /> <br />va1uation o-f Tot:al Construction <br /> <br />_ELECTRICAL <br /> <br />MIP Service <br /> <br />__Florida Power Corv. <br /> <br />W.R.E.C. <br /> <br />_KECllAlITCAL <br /> <br />$ <br /> <br />va1uatior of Kecbanica1 Inst:3lla.tion <br /> <br />_PLUKBDfG GAS ROOFJJI(; <br /> <br />SPECIALTY <br />(~(7 A/(?,f}f>~ther <br /> <br />TYPE OF OOBSTRUCTI01'i: _B1ock _Pralle _Stee1 <br /> <br />YES <br /> <br />X- <br />NO <br /> <br />FIlllISHED FLOOR KLEVATImiS: <br /> <br />FT. <br /> <br />IS PRnTHCT III FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />c2I &-nt.R..-. COIn'RACIOR SECTION <br />BTITTDmt (f) tcrn~ COIIPANY___ <br />Signature I~~ ~ ~ ~.. ~~ I.~~~e o~e::~:~i:n I <br /> <br />****************************************** <br /> <br />Si.-n::lture <br /> <br />CDIIPMY <br />St:ate Cert. or Regist. ., <br />City License Registration t <br />*AA&&&&*********************************** <br /> <br />KJ.F.cTRTCIAN <br /> <br />COIIPDY <br />St:ate Cert. or Regist. , <br />City License Registration t <br />************~***************************** <br /> <br />PlDIBER <br /> <br />Signature <br /> <br />CDIIPABY <br />StatE.: Cert. or Regist. t <br />City .L~cense Registration t <br />****************************************** <br /> <br />tlECllAllICAL <br /> <br />Signature <br /> <br />. <br /> <br />APPLICATIOB APPROVED B <br /> <br /> <br />COIIPA5Y <br />St:ate Cert. or Regist. :f <br />City License Registration I <br />********** ~*********** ****** <br /> <br />onrF.R <br /> <br />Signature <br /> <br />PERKIT OFFICER. <br />