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<br />
<br />APPLICATION FOR PHRKlT
<br />CITY OF ZI\PIIYRIIILLS
<br />BUTIJ)I.BGDEPA.RnfH.JiI'T
<br />
<br />OWNER'S MAKE
<br />
<br />l2~slM
<br />
<br />OWNER'S ADDRESS .1 B oJ 1 It RJ])(; € /TV ~
<br />15Pj~E /l't/.
<br />
<br />G e~1G6 ;Z
<br />
<br />mORE 702 -1//) '7
<br />
<br />JOB ADDRESS
<br />
<br />?BoJf
<br />
<br />LEGAL DESCRIPTIOJI: UJI'(S)
<br />
<br />BI..OCK
<br />
<br />SUBDIVISIOIi
<br />
<br />/L//plOCS ~)j ~
<br />
<br />PARCEL LD.' I) - c2-6 - ;ZJ - 0 D '3 f/ - t) ~ I CJ() '- LftJ /0
<br />WORK PROPOSED:_lIJev Construction ~ition _Alteration _Repair /'I05t:a11
<br />
<br />_Sign
<br />
<br />-3f0ve
<br />
<br />_DeIIOlish
<br />
<br />PROPOSED USE:
<br />
<br />Single Faaily
<br />
<br />_"'F
<br />
<br />_' of Units
<br />
<br />-~
<br />
<br />_cc-ercial
<br />
<br />_Indust.
<br />
<br />_SwU. Pool
<br />
<br />Other
<br />
<br />_Restaurant &: Hea1th Depart:ae:o.t Approval
<br />
<br />BUILDDiG SIZE:
<br />
<br />x
<br />
<br />~e Feet.
<br />
<br />Height
<br />
<br />RESIDENTIAL:
<br />COttttERCIAL :
<br />
<br />ATtACH (2) PL.OI' PlABS &: (2) SEI'S OF BUllDIRG PLARS &: (1) SEt' ENERGY FORKS. u
<br />ATtACH (3) SEI'S OF BUllDDIIG PI.A!lIS &: (1) SEt' FJOIRGY FORKS."''''
<br />"''''COPY' OF CORTRACT KltQmllIID.
<br />
<br />PIllmUTS REOUP..5TED
<br />
<br />O~
<br />
<br />_BUILDTNG
<br />
<br />$
<br />
<br />Jl~
<br />
<br />valuation of Tota1 Construction
<br />
<br />_ELECTRICAL
<br />
<br />AIfP Service
<br />
<br />Florida Power COrp.
<br />
<br />W.R.E.C.
<br />
<br />~CAL
<br />./" PLUKBDiG
<br />
<br />$
<br />
<br />Valuation of Kecbanica.1 Installation
<br />
<br />GAS
<br />
<br />ROOFING
<br />
<br />SPECIALTY
<br />
<br />..
<br />
<br />TYPE OF COBSmUCI'IODl: _Block _FraIIe _Steel
<br />
<br />Other
<br />
<br />FIJIII.SBED FLOOR ELEVATIOIiS:
<br />
<br />Fl' .
<br />
<br />IS PROJECT Di FLOOD ZOlfE AREA?
<br />
<br />YES BO
<br />
<br />",,,,,,,,,,*,,,,,,,,,,,,***,,,,,,*,,,,,,,,,**,,,,,,*,,,*,,,,,,,,,*,,,,,,,,,,,,,,,,,,,,,,,,*,,,***
<br />
<br />COIlTRACI'OR SECTION
<br />
<br />CO'!tPMIY
<br />State Cert. or Regist. I
<br />City License Registration ,
<br />*",,,,,,,,,,,,,,,,*,,,,,,,,,,,,.,,,..*,,,.,,,,,,.,,,.,,,,,,,,,..,,,**,,,.,,,,,,..,,,*,,,*
<br />
<br />BUILDER
<br />
<br />Signature
<br />
<br />Sienature
<br />
<br />COIfPARY
<br />State Cert. or Regist. , MY!) J oJ /:fOr
<br />City License Registration f
<br />..",...",,,,..,,,...,,,...*,,,..,,,.,,,..,,,....*,,,.*.,,,,,,,,,,,,,,,
<br />
<br />ELECTRICIAN
<br />
<br />Signature
<br />
<br />. ~~Je; L rDfPAKY
<br />State Cert. or Regist. j
<br />~ City License Registration f
<br />.",,,,.*.........,,,,,,.,,,.,,,...,,,..,,,......,,,.,,,...,,,.*
<br />
<br />
<br />PLUKBER
<br />
<br />COKPANY
<br />S....ate Cert. or Regist. t
<br />City License Registration f
<br />*..",...",....",,,,,,,.....*~,,,*.......,,,.**...*,,,,,,,,,
<br />
<br />ItEalAllICAL
<br />
<br />Signature
<br />
<br />COIfPMY
<br />State Cert. or Regist. I
<br />City License Registration ,
<br />...",.",,,,,,,,,,,,,,,,...,,,..,,,**..,*,,,*.*,,,*,,,.,,,,,,.,,,,,,.,,,.,,,,,,*,,,
<br />
<br />0'1'1IER
<br />
<br />Signature
<br />
<br />APPLICATIOR APl'ROVIlIl BY ?1 d ~ ~J\A."--'-Y
<br />
<br />PERKIT OFFICER.
<br />
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