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<br />APPLI~7.IO!lil FOk PERMIT <br />CI'IY OF ZEPIIYRHI'w:.S <br />.6IJJILDIRG DRP~ <br /> <br />OWNER'S NAKE \J \ c....o'i"2-? 72--~~...>~TS... 1A...... <br /> <br />PIIOIN1E ~-eDo Sll 7S-S-0 <br /> <br />OWER'S ADDRESS c..foo IN - %"7lA= Av.;;; <br /> <br />~Co. <br /> <br />JOB ADDRESS 5:;2.-1 '+ ~ I!::>l-V ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL L D.I <br /> <br />WORK PROPOSRD:_lNfev Construction _Addition _Alteration _Repair _Install <br /> <br />~Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br />~~rcial <br /> <br />_H/F <br /> <br />_' of Units <br /> <br />_H/H <br /> <br />_Indost. <br /> <br />_Swia. Pool <br /> <br />Ot:her <br /> <br />~Restauran.t &: Healt:h ~t Approval <br />7 t? ,:, ,=>5:(.1" <br />BUILDING SIZE: - J X Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cottHERCIAL : <br /> <br />ATTACH (2) PI.OI' PLANS &: (2) SEI'S OF BUIIJ)ING PIJ\NS &: (1) SEI' ENERGY FORMS. U <br />AtTACH (3) SEI'S OF BUllDDi!G P1..UIS &: (1) SEI' ENERGY FORKS. "U' <br />**COPI' OF COlN1TRAcr RIl1lllT:6nID. <br /> <br />l-'ElmITS REQUESTED <br /> <br />__BUILDING <br /> <br />$ <br /> <br />3q~- <br /> <br />ValuatiOlll of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHAlUCAL <br /> <br />$ <br /> <br />i?Talgation of Hechanical Installation <br /> <br />_PLUMBING GAS ROOFlliG <br /> <br />SPECIALTY <br /> <br />T~E OF CONSTRUCTION: _Block __Pralle _Steel <br /> <br />Other <br /> <br />FInSHED FLOOR ELEVATIOBS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTHACIOR SECITON <br /> <br />BUILDER <D!fPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN COIfPMY <br />State Cert. or Regist. I <br />Signature City License Registration t <br />****************************************** <br /> <br />PLOKBER CO!IPAm' <br />State Cert. or Regist:. # <br />Signature City License Registration I <br />****************************************** <br /> <br />KECHMUCAL CO!IPMY <br />State Cert:. or Regist:. , <br />Signature City License Registration I <br />****************************************** <br /> <br />01'1IER OO1IPAhfi ~UI't^- ~c..,.,-- Co. <br />~. ' ~ State Cert:. or Regist. I e:. 0l0D00 76 <br />Signa1:ure LA. c:> =- ,City License Registration i <br />, ***********t***~***.********************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />