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<br />t?a~/(~ *- - <br /> <br />APPLICATIOJSl FOR PERHIT <br />CITYOFz.EPIIY.RI[ILLS <br />BllJIIJ)lllJG DEPARl1!IElilT <br /> <br />OWNER'S ADDRESS <br /> <br />r.<.J /l- 11.p- r <br />~Bocf <br /> <br />C 0/</ IV <br />11"('50 <br /> <br />PIIOD <br /> <br />? ~S - ~9S;;;2 <br /> <br />OWNER'S HAItE <br /> <br />JOB ADDRESS <br /> <br />c;-~~ <br /> <br />LEGAL DESCRIPI'IOl'i: LOT(S) <br /> <br />BI..OCK <br /> <br />StDBDIVISIOJSl <br /> <br />PARCEL I. D.# <br /> <br />! I - .2 th. - .2 / .... 0 C) / 0 - () ? S- 0 V - 0/ If 0 <br /> <br />WORK PROPOSED:_JSlew Construction ~ition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />sing1e F3IIily <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 />_Restaurant &: Health Depart:aent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHKERCIAL : <br /> <br />ATTACH (2) PL.OI' :PI.ARS &: (2) SETS OF BUILDING PU\.NlS &: (1) SRI' ENERGY FORKS. ** <br />ATtACH (3) SETS OF BUIIJ)ING :PI.ARS &: (1) SKI' EINlERGY FORKS. u <br />**COPI' OF CONTRACT lUlXlm.ilED. <br /> <br />PEKK[TS REQUESTED <br /> <br />_BUILDING <br /> <br />:$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power cOrp. <br /> <br />W.R.E.C. <br /> <br />_ttECIIAlUCAL <br /> <br />s <br /> <br />valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FT. <br /> <br />IS PROJECT TN FLOOD ZONE AREA? <br /> <br />FINISHED FLOOR ELEVATIO~S: <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />COlHRAClUR SECTION <br /> <br />~ M f r'r L - ~ l-~ -'-1'1< (!,~ r~':t7: <br />/' . e ~rt. or R~giSt..' ./C f<- ~S~ L I <br />lI:y L1cense Reg1strat1on' . <br />********************************** <br /> <br />BIJTI.DER <br /> <br />COItPANY F,'/Z s t C / /r-S~. j;je.~/ ( ~ <br />State Ce~t. or Regist. " E-,e CPO I / L~/? <br />City License Registration' /..5-Y <br />****************************************** <br /> <br />00lfPANY: <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />OOlfPANY /{(' N oS ~ /' C- -k' ..v if" ..J <br />State Cert. or Reg~t. f 0 6J s;-y / ..2- <br />, City License Registration it ? I <br />****************************************** <br /> <br />MECBAlUCAL <br /> <br />COlIPDY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />OIBER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY /1(1M./'~~Q~ <br /> <br />PERKIT OFFICER. <br />