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<br />APPLICATIOJtt"~QR l'ERKIT <br />CI'IY OF ZEPf' fRIIILLS <br />BUII.DIRG DEPAR'IIIE'Rr <br /> <br />OWNER' S RAItE $0, J +h. oS [l-e.. Chu \(' c....k c> 'f- ChrC' 5 +- PBORE <br />OWNER' S ADDRESS :::s /j ?.3 7 C /?-Ve,., 7.A?~h L.( r-h / ( ('), ~, <br /> <br />? cY 3 -- ;)..3 oS <br />J>3S<1 I <br /> <br />JOB ADDRESS <br /> <br />c: 1'1 p2. -e <br /> <br />LEGAL DESCRIPTION: I.DI'(S) <br /> <br />B.J.OCI{ <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.:f: <br /> <br />/5 -~ ,-:2/- C>O_~D ~-C)31c90 - 0000 <br /> <br />WORK PROPOSED :_Nev Construction --.J\ddition ..01teration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: <br /> <br />Sing1e Faai1y <br />~eo-ercial. <br /> <br />_KIF <br /> <br />_, o.f Units <br /> <br />_K/H <br /> <br />_Indust. <br /> <br />_Swt.. Poo1 <br /> <br />Ot:her <br /> <br />_Restaurant &: Hea1th ~t Approval. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cotmERCIAL : <br /> <br />ATrAGII (2) PLOT PI..UlS &: (2) SEI'S OF BUILDIBG PLANS &: (1) SEl" ENERGY FORKS. ** <br />ATTACH (3) SEI'S OF BUllDIRG PLWS &: (1) SEl" El!iERGY FORKS. ** <br />**COPY OF COI!iTRACT lUJQm:JUID. <br /> <br />PERKITS REQUESTED <br /> <br />Y~UILDING <br /> <br />$ <br /> <br />.;2. S 6) O. 0 C) Val.uation o.f Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />MIP Service <br /> <br />F10rida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_HECllAlfi.CAL <br /> <br />$ <br /> <br />Val.uation o.f Kechanica1 Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'ION: _B1ock _Pralle _Stee1 <br /> <br />.. <br /> <br />Other <br /> <br />FTIiISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />**..*....*...*.......*~.....***...*..**.** <br /> <br />CONTRACIOR SECTION <br /> <br />BUILDEIJ <br /> <br /> <br />COHPANY r:-~ /1 {' -L/n>r; ~~Cr <br />State Cert. or Regist. , CGC- O/8'SCS <br />City License Registration' 39<1- <br />.....***.************************* <br /> <br />Signature <br /> <br />S' <br /> <br />DmPMY <br />State Cert. or Regist. , <br />City License Registration t <br />************************* <br /> <br />/~7 <br /> <br />PLOttBER COIIPARY <br />State Cert. or Regist. , <br />Signature C~~f L~LCUSC ~tgi5LL~LiUfi f <br />*************.***.*****.***************.** <br /> <br />KECHABICAL COHPANY <br />State Ce,rt. or Regist. t <br />Signature City License Registration t <br />******************~*****.***************** <br /> <br />OTHER DmPAlfi <br />State Cert. or Regist. :f# <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />