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<br />APPLICATION FOR PERMIT <br />GI'IY OF ZEPIIYRB::U.LS <br />BlJJILDUG DEPARDIEINI'T <br /> <br />OWNER'S MAKE 4- L4~ /f ~t,L <br />OWER'S ADDRESS _3 cf 7~~ 2- ;'/ ~~ ct'-?~ <br />JOB ADDRESS S 1+ M e <br /> <br />7 g-;J.. <br />#/;; <br />o <br /> <br />'I/t-/I <br /> <br />PHO~ <br /> <br />LEGAL DESCRIPTION: wr(S) <br />.a :;2 _ ;L (;, -;L/ - / r.... <br />PARCEL I.D.'I'c IU <br /> <br />BI.OCK <br /> <br />StmDIVISIOIiI <br /> <br />VILLA&~ ~v'E- <br /> <br />0- <br /> <br />WORK PROPOSED:_lSIev Construction /Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />./ <br />t/ Single Faaily <br /> <br />.-~/F <br /> <br />_' of lllnits <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_SwUi. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant &: Health Depart:lle:nt Approval <br />I I <br />{y; x/4. <br /> <br />iJ'-f <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHKERCIAL <br /> <br />ATTACH (2) PLOr PI..OS &: (2) SEIS OF BUILDING PLUlS &: (1) SEI' ENERGY FORMS. u <br />ATI'ACH (3) SETS OF BUILDDlG l'LANIS &: (1) SEI' ENERGY FORKS.'i:* <br />'i:*COPY OF COwrRACT IrnQ1llIRED. <br /> <br />I <br /> <br />_BUILDING <br /> <br />.# PEKKI1S REQUESTED <br />c::..z L /l, 0 t::> <br />....Q:/J _ valuation of Tot:a1 Construction <br /> <br />$ <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Cbrp. <br /> <br />W.R.E.C. <br /> <br />~CllANICAL <br /> <br />s <br /> <br />valuation of l!Iechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr:me _Steel <br /> <br />Other <br /> <br />FIIIISBED FLOOR ELEVATIONS: <br /> <br />IT . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*****'i:*'i:****************************'i:**'i:** <br /> <br />CONTRACTOR SECTION <br /> <br />COl!tPMJY <br />State Cert. or Regist. . <br />City License Registration . <br />*********'i:******************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />SiPflature <br /> <br />COltPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />COltPAlSIY <br />State Cert. or Regist. I <br />City License Registration , <br />**************************~*************** <br /> <br />PLOKBER <br /> <br />Signature <br /> <br />cmtPANY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />KECHABICAL <br /> <br />Signature <br /> <br />::~~R rJ&d E!::~eO;e:~:'':~i:'' , <br /> <br />, ****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKI'I' OFFICER. <br />