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<br />APPLlWi.:1J::J:',iI"<,,; l'ERHIT <br />CITY Of!' ZEPIIYRHIU.S <br />BlITLDlliG DEPAP'!]liE'WT <br /> <br />OWNER'S NAME ? lell/l1Z. D ~/.er;- STR.o n-1..... <br />OWNER'S ADDRESS ,q~9Ih - liLt! HuE <br />JOB ADDRESS -..:5/1 m r /7 ~ /9 g""t/E <br /> <br />m05E <br /> <br />7f'3-7y;Z3 <br /> <br />LEGAL DESCRIPTION: LOI'(S) <br /> <br />B.L.OCK <br /> <br />StmDIVISION <br /> <br />PARCEL LD.# / / - :L1o - :L/-OO/lJ - 0 76 ZJtJ~ tJ{) /1 <br /> <br />WORK PROPOSED:1.lNfew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: <br /> <br />Single F8IIily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Rest:aurant &: Health Depart:.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOI' l'I...t\JJS &: (2) SEIS OF BlITLDI1'iG PLUS &: (1) SET EN"ERGY FORKS. ** <br />ATTACH (3) SEI'S OF BUllDlliIG PLA1'iS &: (1) SET EN"ERGY FORMS. *:t <br />**COPr OF CONTRACT REQUJIIRED. <br /> <br />PRImITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ 'S1 90)(' ~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING GAS ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8llle _Steel <br /> <br />Other <br /> <br />FIIfiSHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />C01'iTRACJOR SECTION <br /> <br />BUILDER <br />Signature//' ~ <br /> <br /> <br />ELECTRICIAN <br /> <br />COIItPANY bh~~ -4 C#~/ L7~~~..-,_ <br />~~ S~te~ert. orR~gist.., ~9.~q,.'i;;ZOI/? <br />. C1ty L1cense Reg1strat1on , , <br />****************************************** <br /> <br />Shmature <br /> <br />COlfPANY <br />St:ate Cert:. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />PLUKBER <br /> <br />CO!IPANY <br />State Cert. or Regist:. , <br />City License Registration I <br />**~****+**************.***~*************** <br /> <br />Signature <br /> <br />KECH.MUCAL <br /> <br />COlIPMff <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />CO!fPMlY <br />State Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />