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<br />APPLICATION FOR l'HRKIT <br />CI'IY OF ZEPIIYRlIILLS <br />BUII.DUilG DEPARTMENT <br /> <br />1? t<.f ~/5' <br />/J "I j 7"....'2 /' . <br />3- i5w <br /> <br />c7t--;;~ <br />':.-- <br /> <br />OWNER' S ADDRESS 5 ~ \ (:) <br />JOB ADDRESS ~ ~~ ~ <br /> <br />NAME ~O \L ~ ~ ~ 'f~S1\ \'J 'W ~ ~ ~ <br />Gs ~ \...L. ~ Lv b <br />S:> \ \...... V S \<--.- <br /> <br />MIONE.] g'g - ~ 33 \0 <br /> <br />c/ <br /> <br />OWNER · S <br /> <br />uK- <br /> <br />LEGAL DESCRIPTION: LOT(S)J \ d-... <br /> <br />_B.L.OCK <br /> <br />~<N~ <br /> <br />\i~ 1ti <br /> <br />PARCEL I.D.# 3-d...~-. \, - a\~C) <br /> <br />~ ~ CJ~ ~ <br /> <br />\ \d-.. 0 <br /> <br />lroRK PROPOSED: ''J..-.l!l1ew Construction ~dition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPQSED USE: X Single Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_H/H <br /> <br />_CoBaercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Rest:aurant, & Healt:h Depart:Dlent Approval <br />I I' \' I""'-- <br />BUILDING SIZE: q, I~ xkF\ -~. a"~, U \ K ' <br /> <br />Square Fee t. <br /> <br />I <br />V-L <br /> <br />Hei~t <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PI.ANS & (2) SEIS OF BUILDING PI..gS & (1) SET ENERGY FORMS. ** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.~~ <br />~~COPY OF COINTRAGT REQmBED. <br /> <br />V <br />_BUILDING <br />Y ELECTRICAL <br /> <br />~CAL <br /> <br />_PLUMBTNG <br /> <br />PERI/fITS REOIW_<iTRD <br /> <br />$ ~D /~O(j .~~ <br />\50 <br /> <br />ValUat~f Total Construction <br /> <br />AMP Service Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />s 3a~~~~~ <br /> <br />Valuation of Mechanical Installation <br /> <br />GA~ <br />'><- Block <br /> <br />l(",)(jt"DiG <br /> <br />SPEGL.\LTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fr3llle _Steel <br /> <br />Other <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARE....\? <br /> <br />x <br /> <br />FINISJIED FLOOR ELEVATIOJI~S: <br /> <br />YES <br /> <br />NO <br /> <br />/ <br /> <br />~~*~~~~~~~~~****~**~**~*~~****~~~~***~**~* <br /> <br />COOOTRACY'OR SECT'IOIN <br /> <br />" <br /> <br />RUILDY.R ,L <br />Signature \C. ,~ \ 1;) v). <br /> <br />~ CO'IfPMlfY <br />St:ate .Cert. or Regist. 4ft C ,~~ 0 \ C~ ~,;;)--- <br />"",-, '" City License Registration" g, 7 '7 <br />~~~*~*~~*~.~.~*..~*~*~.~~..~.~****..***~.. <br /> <br />RI.RCTRIClAN . ~ OONl'ANYr ~ E, ~ ~ '-e...- <br />State Cert:. or Regist. 1# t ~~~~Io'-\ Q <br />siP-natnreu.) ~ City License Registration f ' <br />~.~**..***.******..****~*~~*~**~*...~***~. <br /> <br />PUMBER~ \\1 . OOHP~~~~~1t.... ~ It(. <br /> <br />I~ State Cert. or Regist. 1# <br />Signatur ..,_) .~ City I"icense Registration !#-'~S <br />~ ~***~~~~~***~**~**********~**~.****~****.* <br /> <br />Signature <br /> <br /> <br />OOHPMlIY c; c.:::) '::,,) ,.:jY .~ <br />State Cert. or Regist. # <br />City-Lic~nse Registration ~ ~ ~ <br />*.~*.***~~***~.~~~*~.**~.*.*.***~~ <br /> <br />HE',CHANICAL <br /> <br />cmwANY <br />State Cert. or Regist. ~ <br />Ci~ License Registration * <br />*************.*****.**~*****..***********. <br /> <br />:\,1 lit l"J{ <br /> <br />Signa t:ure <br /> <br />APPLICATION J\PPRO"'~"ED BY _ <br /> <br />PER~rr'r (,PFl GEl? . <br />