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<br />APl?LICATIOK FOR PERMIT <br />CI'IY OF ZEPBYRIIILLS <br />BlllLDIKG DEPARnfE'.1lrr <br /> <br />OWER'S NAME <br /> <br />(~) 78s - (0(0) <br />PHONE (1+) 78'2,-702- <br /> <br />!-lkN /'. I> eEt) fA- <br /> <br />OWNER'S ADDRESS bro 37 Fox rllMoo(L be I \IF <br /> <br />JOB ADDRESS (0(031 Fo'X (AM coIL P IL , v 1--:::: <br />~3 <br /> <br />LEGAL DESCRIPl'IOl!il: lJJI'(s) <br /> <br />BI..OCK <br /> <br />SUBDIVISION SILIIU O"'~.5 fJH#;SG 6,vc <br /> <br />PARCEL LD.f J..... c:ll-d.-/ _ /::L -0 <br />WORK PROPOSED:_!Jew Construction 1Addition _Alteration <br /> <br />---.:.......Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />f Single Faaily <br />, <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_HIH <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Ot:her <br /> <br />_Rest:aurant &: Hea1t:h Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />30' X 12'~/I. <br /> <br />~33 <br /> <br />Square Feet. <br /> <br />IS' <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COttKERCIAL : <br /> <br />ATTACH (2) PI...OI' PI..MiS &: (2) SEIS OF BUILDING PIJUiS &: (1) SET ENERGY FORMS. ** <br />ATI'ACI (3) SEIS OF B1JII.DDifG PLU'S &: (1) SET ENERGY FORMS. ~~ <br />~~COPY OF COINTRACT REQ1JJIRED. <br /> <br />PERI!IITS REQUESTED <br /> <br />L-BUILDING <br />~ELEGTRICAL <br />--K...HECllANICAL <br />~PLUHBING <br /> <br />$ IV (000 Valuation of Total Construction <br /> <br />AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />s <br /> <br />l.(()2.00 <br /> <br />Valuation of Kechanical Installation <br /> <br />GAS <br /> <br />ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block LFraae _Steel <br />~u.tt... TO 6X,l$""AI~ <br />FINISHED FLOOR ELEVATIO!JS: FT. IS PROJECT IN FLOOD ZOJilE AREA? <br /> <br />Other <br /> <br />YES <br /> <br />L- <br />NO <br /> <br />****************************************** <br /> <br />COJn'RACI'OR SECTION <br /> <br />BUILDER <br /> <br /> <br />CO!fPAn OW# t!.1( <br />St:ate Cert. or Regist. # <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN ~ ~ aJIIPMY EN~~&) 6'16~S <br />St:ate Cert:. or Regist:. #i: - J...<e.-f- <br />Sifmat:ure ~\.-L- to - u........... City License Registration' I'" t <br />*********** ***************************** <br /> <br />PIDKBER _ ~ CO!fPOY E,o,,\te..eAJ t.- <br />::::::::=f\ ~ \) St:ate Cert. or Regist.. , <br />Signature ~, - X City License Registration I <br />*******~********************************* <br /> <br /> <br />KECIIAlflCAL COltPMff ~JUVl~OJ{)Mev'TAL- (1~~UDlit. ~ <br />~ -.l--I\-<<J ~ St:ate Cert:. or Regist:. :f . <br />Signature -4 ~.Jrl~) \.... r .... ~\. City License Registration j: 1/'1 <br />********* ******************************~ <br /> <br />CO!fPOY -::I C{!) ~'-~t--n'"' 'f. vt(lU"~ff <br />St:ate Cert. or Regist:. , <br />City License Registration , <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />v,JlL / jl , <br /> <br />APPLICATION APPROVED BY '-f1t/A. p~ ~J>_~ <br /> <br />PERHIT OFFICER. <br />