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<br />---'...----...--.'_."* -....,--'" .-,.."...-..-........- -..~".....,.- <br /> <br />APPLICATION FOR PERKlT <br />GI'IY OF ZEPHYRllIUS <br />BUfILDl1!iG DE',PARTKE1!iT <br /> <br />OWNER'S ADDRESS <br /> <br />1 <br />\(e \ \0\<) 'f ~\~c:.l <br />2D55 ~ ~\- <br /> <br />s~ y- t:I.. 7c:> +"'- <br /> <br />PIIOI!ffi ~ 1 ~ '1 5' y D<=\ ~ 0 <br />tl ~ ~LC2_ ~7 <br /> <br />OWNER'S NAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: UJI'(S) <br /> <br />BLOCK___SUBDIVISION <br /> <br />PARCEL 1. D.I <br /> <br />RORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deao~ish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of IJInits <br /> <br />_""H <br /> <br />_~rcial. <br /> <br />_Indust. <br /> <br />_SwUi. Pool <br /> <br />Other' <br /> <br />_Restaurant & Hea1.th Depar~t Approval. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />GOHKERCIAL : <br /> <br />ATTACH (2) PLOT PI.ABS & (2) SEIS OF BUll.DING PLA1!iS & (1) SET EliERGY FORMS. ** <br />ATTACH (3) SETS OF BUILDDilG PLAlIis &: (1) SET ENERGY FORKS. ** <br />**COPV OF C01!iTRACT RIl'QUlTRIlD. <br /> <br />PElMITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Val.uation of Total. Cmlstruction <br /> <br />_ELECTRICAL <br /> <br />AIfP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.G. <br /> <br />_KECfIM[[CAL <br /> <br />s <br /> <br />Val.uation of Mechanical. Installation <br /> <br />_PLllH.BING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />" <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FUfiSHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT DI FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br /> <br />****************************************** <br /> <br />GOURACIOR SECTION <br /> <br />Si <br /> <br />CD!IPANY <br />State Cert. or Regist. , ( Cl c {/ -.S 7 c2 7' 7 <br />City License Registration I ,? <- 7' <br />.. <br />**************************************** <br /> <br /> <br />W!lPARY /,?Jt9-1~ r ~ pz~/ <br /> <br />State Cert. 0 egist. I ~: coo CJ () 3' 2-4:J <br />City License Registration I .:( yy <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />PWKBER . ./~ CD!IP~:........,-, ~/ <br />_----7 ~ State Cert. or Regist. I 0 <br />Signature ~( 07~ City License Registration I /s 0 <br />, .*******.+*+***.************************** <br /> <br />=:rdkif2:&:~~f;;J <br /> <br />City License Registration I /~/~ <br />. <br />***************************************** <br /> <br />CD!IPBY <br />State Cert. or Regist. , <br />Si City License Registration I <br />**********...**********,,<******************** <br /> <br />APPLICAnON APPROVED BY ?1o~~~ PEBtIlT OFFICER. <br />