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<br />APPLICATIOJl FOR PERItIT <br />CI'JY OF ZEPIIY.RIIILLS <br />BUII.DIIiG DRPARnIE1iT <br /> <br />7)c.41J E: ~ VoNck IV. nGGS PHONE 8t3 - (~;L.-8CJS8 <br />OWNER'S ADDRESS S 7YS q'/-h <5J, Ze ph ,/~{, /Js / -;://1. <br />s~m~ <br />LEGAl, DESCRIPTIOII, I.IJT(S) ~ &..J 7 BLIlI% "34 SOBDIVISIOII C,-kt o.p4?L'j~L')1s <br />PARCEL LD.I II-~~- :)..\-00\0 -03~OO - OOSD <br />WORK PROPOSED:_lNIev Construction V Addition ~teration ~epair _Install <br /> <br />OWNER'S MAKE <br /> <br />33<;; YO <br /> <br />JOB ADDRESS <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: ~i.ng1e Faai1y <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />Restaurant &: Hea1t:h ~t Approva1 <br />~1; 11..' r <br />BUILDIIiG SIZE: q' to. II X ~ t ,,~' "37(, , ;;L~ Square Feet. <br /> <br />1/ ' <br /> <br />Height <br /> <br />RESIDEIiTIAL : <br />cottKERCIAL : <br /> <br />AtTACH (2) PLOt' PLUS &: (2) SEIS OF BUILDDfG PLUS &: (1) SEI' ENERGY FORMS. ** <br />AtTACH (3) SEIS OF BUllDDiG PLUS &: (1) SEI' ENERGY FORKS. ** <br />**COPT OF COIn"RACT RIlQIDIRIlD. <br /> <br />PERl!lITS REOOESTED <br /> <br />vBUILDING <br />V"'" ELEC'rRICAL <br /> <br />4 rxJD c~ <br /> <br />Va1uation of Total Construct.ion <br /> <br />AKP Service <br /> <br />v . Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1tECIfAIUCAL <br /> <br />$ <br /> <br />Va1uation of Hecbanica1 Inst:allation <br /> <br />~PLlJK8ING GAS ~ HOOFDiG <br />TYPE OF COIiSTRUCTION: _Block /'~ _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FI' . <br /> <br />IS PKOJECT IN FLOOD ZOIiE AREA? <br /> <br />1/"" <br /> <br />FllIISHED FLOOR ELEVATIOIiS: <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />C05'I'RAcroR SECTION <br /> <br />CO!IPMiY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signatnre <br /> <br />ELEcnuCIAlf <br /> <br />CO!IPA1'iY <br />State Cert. or Regist. I <br />City License Registration f <br />****************************************** <br /> <br />SilPn;lture <br /> <br />CO!IPARY <br />State Cert. or Regist. , <br />City License Registration 1 <br />****************************************** <br /> <br />PLOIBER <br /> <br />Signat:ure <br /> <br />_i:' <br /> <br />CO!IPANY <br />State Cert. or Regist. 1 <br />City License Registration I <br />****************************************** <br /> <br />KEafAl[[CAL <br /> <br />Signature <br /> <br />OTHER CO!IPAIWY <br />State Cert. or Regist. 41 <br />Signat:ure City License Registration , <br />*********************~~****x************** <br /> <br />APPLICATIDN APl'IlOVED BY ~~^A~C___ PERIIIT OFFICER. <br />