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<br />APPLICATIOOO FOR PERMIT <br />CITY OF ZEPllYRlITLLS <br />B1JJILDUlG DEPARDIElNIT <br /> <br />81 \ee ~=> ~$ f-..-\K'~ ~ _ , <br />OWNER'S NAME ''0 Tf: u e \-\ ~ (1\~\. '> ~ P1IOlNlE ~\ - C> ~'I~ ~-' (~q ('1 "-L <br />0IlRER' S ADDRESS'~ h C':J\ ()'- V", ill H :3 f pYj.~ i: to I \ \ '::" f l, '''>00 l\ (:\ <br />.~<) , -' '--V-.t:> ~'\ \- - \\ r/t 3 :::2.. .- ( I '\ <br />JOB ADDRESS . JC\S~~ ~ ,,\\ ~ . '3~ \')l () Y ~.") \ ,\ \' \. V~ '1 '--.) <br />LEGAL DESCRIPl'IOl!lll: .IDI'(S)'\IR, ~OC\ 'LBLOCK l~UJBDIVISIO~~ t\~ 3er~'{' h) )\~ <br />PARCEL I.D.f '\~~lo- ~ \-l~\C\- \ f5rl..~~~b~D <br /> <br />RORK PROPOSED: _l!i!ev Const:ruct:ion _Addit:ion _Alteration ~Repair _Install <br /> ~ign _Move _Deaolish <br />PROPOSED USE: Single F3Bllily _KIF _, of Unit:s _H/B <br /> ~~rcial _Indust: . _Swa. Pool Other <br /> <br />_Restaurant: &: Health Deparblent: Approval <br /> <br />BUILDING SIZE: ~x <br /> <br />Square Feet:, <br /> <br />UA <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOI' PI.A5S &: (2) SETS OF BUJILDIlNIG PLAlNIS &: (1) SET ElNIERGY FORMS. u <br />rCOHiiERCIALZ ATTAC.1I (3) SETS OF B1JJTI.DIlNIG PI.A5S &: (1) SET ENERGY FORKS....... <br />"---_ _ ,uCOPY' OF COlNlTRAC1' REQm:RED. <br /> <br />BLt)EPp-./1JT.5 ON FILE. <br />.. PEmfiTS REOUJRSTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuat:ion of Tot:al Constnlction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Valuat:ion of Mechanical Inst:allation <br /> <br />_PLlJMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />. TYPE OF CONSTRUCl'IOlNl: _Block _Fraae _Steel <br /> <br />5\6~ <br /> <br />Other <br /> <br />FInSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS l'RO.JEC1' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****...*......**...*******...***...*********...*******...* <br /> <br />COIl1'RACIOR SEC1'ION <br /> <br />Signat:ure <br /> <br />COlfPAn fl. <br />State Cert. or Reg1st:. , <br />City License Regist:rat:ion <br />.........***...********...********...**...****...********* <br /> <br /> <br /> <br />+\~ , <br />~ <br />-1.1 ~ ~ <br /> <br />BUILDER <br /> <br />ELECTRICIAN' <br /> <br />a:mpANY <br />Stat:e Cert:. or Regist. # <br />City License Registration I <br />********...*******...************************* <br /> <br />SiJm3ture <br /> <br />PLUJK.BER <br /> <br />COMPANY <br />State CerL or RegisL :f# <br />City License Registrat:ion f <br />**...******.........***...******...*...*******...********* <br /> <br />Signature <br /> <br />KECllAJUCAL <br /> <br />ClMIPAlNIY <br />Stat:e Cert:. or Regist:. I <br />City License Registration , <br />**......***......*......*********...**...**...**...*...****...**...* <br /> <br />Signature <br /> <br />0T1IER <br /> <br />ClMIPAlNIY <br />State Cert:. or Regist:. :f# <br />City License Regist:ration :f# <br />**...********...************...*...*...***......*****...** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />'71 ,<lM.I' A~ ~ eAAlkL <br /> <br />PERKIT OFFICER. <br />