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<br />APP!..IC.\.TION . FUR PERKIT <br />CITY OF ZEPIIYRIIILLS <br />BitITLDlliG DEPARDII!'MT <br /> <br />t! i<../i cL 5iJ' 0<:> <br />;~7-9.:L . <br /> <br />~ <br />OWNER'S NAME..) ~.tv\. c 'S ~'~ ~ '"i- c 1:. <br /> <br />'2; ~ ~,\\J \:,)(9.C~ <br />" <br /> <br />PIIoe ~ ~ d, -- 'a~ ~l <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS ~::;- i l ~ ~La--c~, ~ 'L <br />LEGAL DESCRIPTION: LOI'(S) \SJ \\0.) ,~ ~ 7~DIVISIONc... \\ y z:.:e~\\ Y\~\i \\.\~ <br />PARCEL LD.' \t - ~~ - ~\ - C)<:!>\~ - ()~'-t DC) - Q) \ S (J <br />WRK PROPOSED: ~ev Construction _Addition _Alteration ~Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ing1e Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swt.. Pool <br /> <br />Ot:her <br /> <br />_Rest:aurant &: Health Depar~t Approva1 <br /> <br />BUILDING SIZE: lo \ X (O~ <br /> <br />\~~S <br /> <br />Square Feet. <br /> <br />q ,_ 't \. I <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOI' I'I.ANS &: (2) SETS OF BUILDING PLANS &: (1) SET KNERGY FURHS.** <br />cottKERCIAL: ATTACH (3) SETS OF BUILDlliG PLANS &: (1) SET ENERGY FURMS. ~~ <br />~~COPY OF CONTRACT KIl'QlHBED. <br /> <br />./ <br />_BUILDING <br /> <br />PEIMI'IS REOUESTED <br /> <br />~ELECTRICAL <br />~KECBAHICAL <br />V"PLUKBING <br /> <br />$'\\ ~~O <br />tSo <br />"a.SOC> <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />AKP Service ~ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />s <br /> <br />Va1.uat:ion of Kecbanical. Ipstallation <br /> <br />GAS <br /> <br />KOOFl.lliG <br />. <br /> <br />SPECIALTY <br /> <br />V" <br />TYPE OF CONSTRUCTION: _Block _Pralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD Z01liE AREA? <br /> <br />v <br /> <br />YES NO <br /> <br />~~.~..............~.....*.........~...... <br /> <br />COII'I'RACIOR SECTION <br /> <br />~ COI!tPMIIY~\)~\";)'{::.~,~ '\\~ ~"> <br />~' State Cerl:. or Regisl:. , G R...C::: CD \ ~ ~C> ~ <br />~ City License Registration , <br />.... .................................... <br /> <br />ELECTRICIANI. 1 : , J . n ~ ~ CO!t?ABY t t.c ~ \....,~ c::.. , <br />W ~ Stat.e Cerl:. or Regist:. #i= Eo ~ C!) '3 ~ ~t.., ~ ~ <br />Sismature Ft=. t::., b~>~" City License Registration f ~, C) <br />............................*.....**....~* <br /> <br />BUILDER <br />Signature tr)<2.-; <br /> <br />PUDKBER <br /> <br />Jl COIIPAIIY C. ~ ~ 0-."- N<<. "'- '>- <br />(). St:ate Cerl:. or Regist:. #i= <br />a' " ~____ City License Registration I <br />....~.....................***........*..** <br /> <br />~~c... <br />\~~ <br /> <br />,,,' ) <br />Signature }<______ <br />Ii <br /> <br />KECHAlfiCAL <br />Signat:ur~ ~ ~ <br /> <br />COI!tPANY))'\..0)\.t.l~ ~ S ~\ \).~ ~ <br />State Cert. or Regist. I <br />City License Registration , <br />......*..*..*.*.*.....*.*.*......*.**.~**. <br /> <br />011IER <br /> <br />Signature <br /> <br />CO!IPABY <br />S~ate Cert. or Regist. #i= <br />City License Registration I <br />**...........*...........*..**..*******... <br /> <br />. <br /> <br />APPLICATION APPROVFJ) BY <br /> <br />/1atu'1'-~ pV)A1b,9' <br /> <br />PERIIlT OFFICER. <br />