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<br />APPLICATIOINI FOR l'EIDUT <br />CITY OF ZEPBYKllIUS <br />BillLDlliIG DEPAR1lP1E'Nf <br /> <br />OWNER'S HAHEW.{).Nf-J tYl~N"/ G,.,;-! <br />OWNER'S ADDRESS f! C).6u.;-.S5 h 2 ~jtA A;//> <br />JOB ADDRESS 37'1 Lj~ ?of AtV 6{~A-7 CJ. <br />LEGAL DESCRIPl'ION: WY(S) 116 <br />PARCEL LD.' / () ,- 26 - 2/- 0/ lo - OVo CJ(/ - i / b <br />. <br /> <br />hr~. <br /> <br />mmm <br /> <br />/J-c~9t)N <br /> <br />,Ur?~ <br /> <br />BLOCK <br /> <br />SUJRDIVISIOINI LA) t- , f i.. v.Juv ~ <br /> <br />WORK PROPOSED:_~ Cons~ruc~ion _Addi~ion _Al~eration <br /> <br />_Repair <br /> <br />_Ins~all <br /> <br />_Sign <br /> <br />_lIfove <br /> <br />_De-.olish <br /> <br />PROPOSED USE: <br /> <br />~le Faaily <br /> <br />~/F <br /> <br />_, of UJni~s <br /> <br />_MID <br /> <br />_~rcial <br /> <br />_Indus~. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Rest:auran~ &: Health Departaen~ Approval <br /> <br />Square Fee~. <br /> <br />Height <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />RESIDENTIAL: <br />COI!tKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SEIS OF BUILDING PL..OS &: (1) SET E:INIERGY FORMS. U <br />ArrACH (3) SETS OF BUIIDDG PLMiIS &: (1) SET ENERGY FORKS. ,u. <br />**COPY OF CONTRACT REQlDDmD. <br /> <br />PERl!lI1S REQUESTED <br /> <br />l/BUILDING <br /> <br />:$ <br /> <br />ttJ 0 t?() rd <br />r <br /> <br />Valuation of Total Construc~ion <br /> <br />~CTRICA.L <br /> <br />AMP Service <br /> <br />Florida Power COrp. <br /> <br />~R.E.C. <br /> <br />~ClIARI.CA.L <br />~UH.BING <br /> <br />$ <br /> <br />Valuation of Mechanical Inst:allation <br /> <br />GAS <br /> <br />ROOFIHG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: _Block _Fr~ _Steel <br /> <br />Other <br /> <br />FIlIISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COmRACIOR SECTION <br /> <br />BUILDER ~ CIlKPANY tV. 1l;Jf:lL'!1t!ltv/ C}N~j <br />// J /l / St:ate CerL or RegisL' C d Z Dk2 i <br />Signa~ure t1J. WI.-I '4~ Cit:.y License Regis~ra~ion , '1 <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />CUltPANY W/lfP7I-A(,t'J / Sr".",- l/ Ie ,- <br />St:ate Cer~. or Regis~. , <br />Sirota~ure Cit:.y License Registration , ~ ~ (, <br /> <br />PUlIKBER ~ ***I1IL..............::.;:#~:: ffv~~. <br /> <br />n (J St:a~e CerL or Re sL' / <br />Signature AJl.kL-. ~ Cit:.y License Regis~ra~ion I I;z...~ <br />****************************************** <br /> <br />Signature <br /> <br /> <br />~ CIlKPANY J;A<.f[~ d,,/ /A~ <br />Sta~e Cer~. or eg1s~. , <br />~it:.y License Regis~ra~ion I 71 <br />* **************************************** <br /> <br />KECllAlfiCAL <br /> <br />0'1'1IER <br /> <br />Signature <br /> <br />CO'!fPANY <br />S~a~e CerL or RegisL , <br />Cit:.y License Regis~ration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />71 t1~sS"A .<JU't- <br /> <br />PERKIT OFFICER. <br />