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<br />APPLICATION FOR PElffiIT <br />GI'IY OF ZEPBYRm:u..s <br />BUlLDDilG Dj'PARlTIfENT <br /> <br />L. (7 z: j !pavc!.!> <br />~ ito/';) S Ie <br /> <br />OWIIER' S lWIIl K d 1!!2!j) ~ I< I w\" e.y <br />OWNER' S ADDRESS '2 D :5:5 U> 00 c::f s ~ S ~ '(" 0... 5. u+".., <br />.JOB ADDBESS 7 ~ Lf J (., A. \ , ~, IIcY <br /> <br />moNE <br /> <br />SI:5 95 l{ ~Cf D <br />~4 '2.. 3 7 <br /> <br />0\0- <br /> <br />LEGAL DESCRIPTIOI!i: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f <br /> <br />WORK PROPOSlID:_lSIew Construction _Additicm _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: <br /> <br />Single Faai1y <br /> <br />_H/F <br /> <br />_" of lJTnits <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />Indus '/' <br /> <br />_Swa. 1'001 <br /> <br />Other <br /> <br />_Restaurant &: Health Deparblent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cottKERCIAL : <br /> <br />ATTACH (2) PLOI' PIJUiS &: (2) SEr'i OF BUlLDlliG PUUilS &: (1) SEI' ENERGY FORKS. ** <br />ATTACH (3) SEIS OF BUIlilIlWG puns ~ (1) SEI' ENERGY FORKS.** <br />**oopy OF oolNlTRACl' IUlXlUJ'I:RllD. <br /> <br />r~TS REQUESTED <br /> <br />_BUILDI'NG <br /> <br />$ <br /> <br />VaJ.taaf:iCliU. of Total. Construction <br /> <br />_ELECTRICAL <br /> <br />MtP Service <br /> <br />___F1orida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_KEGIIAIilCAL <br /> <br />$ <br /> <br />_Val", d:io:>1.1. of Hechanica1 Installation <br /> <br />_PLUKBI'NG <br /> <br />GAS <br /> <br />_.__~ROOYIliG <br /> <br />SPECIALTY <br /> <br />TYPE OF oo'NSTRUCTION: _B1ock _F-LaBe ___Stee1 <br /> <br />Other <br /> <br />FTIiISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*****************.****:************.****** <br /> <br />.~ <br />BUILDER ... . <br /> <br />S~ture~~~ <br /> <br />ooll'l'R.:\C::::OR SECTION <br /> <br />OOltP1UJY~~/L,~ <br /> <br />~ State Cert. or Regist. , <br />--=...:__ City License Registration , <br />**************************.**********..**. <br /> <br /> <br />CU!fPA~--.&t(')~/t'YI + Bu rf- b-lec. f-, <br />St:8::~ Cert. Regist. j: e: c- 00 Cl Q 3 a <br />Cit:y License Registration f <br />***************~~***.*******************~* <br /> <br /> <br />Si <br /> <br />Signature <br /> <br />PLOKBER L c:G}!:"~~ <br />Stg,t:e Cert. or Regist. j: <br />S~ture ~ _ __ '"'i, X l:.iceDS<" Regis<ration # r.ffD <br />********""*****-J\o'fr.:.,,*,r :1:***"".***.**..**.*iI'*** f <br /> <br />=1''''''' !f!:tt- Ac:4-. ~ Ii- J./ Co <br /> <br />Sbte Cert~ or Regisa:.:. f c.lj.c.,o 2../ 2-.3 <br />ity '~icE'nse Registration I IA-h:, <br />**~**..~~+****..******.******. (~yv <br /> <br />KECl:lA.HICAL <br /> <br /> <br />01HER ~JI~PJ.JliY <br />S~ate Ce~t. or Regist. j: <br />Signature City ~icense Registration I <br />**********,..101:';' '" !"...."'*i!--.lI-il:.., ****""*********..**** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />