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<br />.~. <br /> <br />"' ~". ...."'.'."'....... '"',........"".,,, t.''''.,'''.' <br /> <br />APPLICATIOB FOR PHRKIT <br />CI'IY OF ZEPHYllIIILLS <br />BUllDIlIGDEPARJlU!Jr'f <br /> <br />OWNER · S NAIIE <br /> <br />\ '" <br />l/.elJtI" <' Ie,,,,,, S~l <br />2.0'; " ~"...~.Q s f <br />'~ll Gj"Jl <br /> <br />PHONE <br /> <br />e' '":!. <br /> <br />'i'5lt 0'\<:] 0 <br /> <br />OWNER' S ADDRESS <br /> <br />$<'1 reo. ~ Co 4- <br /> <br />. C "'- <br /> <br />JOB ADDRESS <br /> <br />ry ?::. 't ~ <br /> <br />/)/ c..ber So <br /> <br />'"j' ~~e; L-i'rl <br /> <br />LEGAL DF.SCRIPTIOI!f: WI'(S) <br /> <br />BI.OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t <br /> <br />WORK PROPOSED:_lIev C'oostruction .-...Addition _Alteration _Repair _Install <br /> <br />S. <br />- 19D. <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_S.n.. Pool <br /> <br />Ot:her <br /> <br />_Restaurant &: Hea1th ~t Approva1 <br /> <br />BUILDDfG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDERTIAL: <br />COKKKRCIAL : <br /> <br />A1TACII (2) PLOl' P.I..MiS &: (2) SEIS OF BUILDlliG PLUlS &: (1) SKI' ENERGY FORKS. ** <br />ATI'ACH (3) SEIS OF BUILDllIG PLUlS &: (1) SKI' ENERGY FORKS. *oJ: <br />**copy OF CONTRAC'f ~. <br /> <br />PIlmIITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Va1uation of Tota1 Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power torp. <br /> <br />W.R.E.C. <br /> <br />_HEGHAlUCAL <br /> <br />$ <br /> <br />Va1uation of Kechanica1 Installation <br /> <br />_PLUKBDfG <br /> <br />GAS <br /> <br />KOOF'DfG <br /> <br />SPECIALTY <br /> <br />" <br /> <br />TYPE OF CONSTRUCTIOll: _Block _Fra8e _Steel <br /> <br />Ot:her <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJEC'f Df FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signatur <br /> <br /> <br />COJl'I'RACI'OR SECTION <br /> <br />BmT.DER <br /> <br />CO!fPMY <br />State Cert:. or Regist:. I C G- c: 037:2 '? ? <br />City License Registration I <.. ;:>,...Cr <br />. <br />****************************************** <br /> <br />lDIPAJJYm~~ r4M/ (:Z-<P' <br /> <br />State Cert. or #egist. f E::..C 0000 .J' Lei <br />City License Registration , ;:) ?/ y <br />, <br />****************************************** <br /> <br />PLUttBER <br /> <br />CO!fPARY~, ~:v-- <br />State Cert. or Regist. " <br />City License Registration t /f-o <br />*********************...******************** <br /> <br />,,-" .----. <br /> <br />-----::: <br />Sigoat:nre <br /> <br />~ I <br /> <br /> <br />ClVARY~~ <br />State Cert:. or Regist:. , <br />City License Registration f /~(~ <br />****************************************** <br /> <br />CO!fPARY <br />State Cert:. or Regist:. f <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />