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<br />APPLICATIOlN1 FOR PERMIT <br />CI'IY OF ZEPfi":ffiIII.LI.;S <br />BUIl.DIlIiG DEPAR'YHRINlT <br /> <br />f p..f. J SO "'" 7J. 'I":?; ~ <br /> <br />PllONE__ 7 &r-- 37 tb I <br />Z.~1:/l-/4~'/~ //;;;~ ? f-:I:Y/ <br />~/l~/7,~~'4 /:h- .:;: "j~f'Y/ <br />~ . ~. . <br />LEGAL DESCRIPTION: LOT(S) GPO BLOCK SUBDIVISION l1J l~c/9I-lAJeOi..(;J2;Cht1)D;'~ <br />PARCEL LD.' /( -...2 6 -.2/- ()/ZtJ -- 00000.- ()~oO / <br /> <br />OWlfER'S NAlfEdlK', j$~~j &d.'0d <br /> <br />OWNER'S ADDRESS.s-7 Fr XJI'-.l.s~~v (- Lh~. <br />~-c'-C- u I.../. /7 <br />JOB ADDRESS ~,/ J ..) /' cJIC./~('/:;J/ /T.../. L/~.. <br /> <br />WORK PROPOSED: ~ Const.ruct.ion _Addit.ion _Alt.eration _Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_M/H <br /> <br />_CoBaercial <br /> <br />_Indust. . <br /> <br />_Swi..-. Pool <br /> <br />Other <br /> <br />_Restaurant. & Health Deparblent. Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet., <br /> <br />Hei~t <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT l'I.ANS & (2) SEIS OF BUILDING PL.IU1S &: (1) SET ENERGY FORH.<i. H <br />ATTACH (3) SEIS OF BUILDDilG PLANS & (1) SET ~E:RGY FORMS. ~~ <br />~~COPY OF CONTRACT REQm:RED. <br /> <br />PEmlITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Tot.a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power COrp. <br /> <br />~ <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Inst.allation <br /> <br />_l'LUPUsH.G <br /> <br />GAS <br /> <br />ROOF~G <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: _Block _Frase _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR EL.EVATIm~S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARE."-? <br /> <br />l'ES NO <br /> <br />~~~~*~~~~~~~.~******~*******~*.~~****~*~~~ <br /> <br />C01'ilTRJl\CT'OR 5RCT'ION <br />'/J 1 <br />IlUIl.DY.R COIIWMIIY It J.r1. AJ~um.avh.) <br />h JO-I /J -"' St:ate Cert. or Regist. !# <br />Signature tV. '/...f-?~n-n City License Regist.rat.ion <br />********.***...************~************** <br /> <br /> <br />aMIPANIl <br />State Cert._ or Regist. i <br />City License Regis~rat.ion <br />****************************************** <br /> <br /> <br />Cv c~~(. :/'.>..; ZA . <br />Q'),,9 Ol?2.i./ <br /># 'f <br /> <br />~A <br /> <br />5i <br /> <br />PLtllKBER <br /> <br />r-- <br />~'^~~ <br /> <br />OO!tPANY Q ~~ II<?.-vr.~ t).!w t/~ <br />11/ Stat.e Cert.. or Regist.. !# <br />( (J~ City I"icense Registrat.ion' / ~ S' <br />********.**.*****.*********~*~************ <br /> <br />Signat.ure <br /> <br />/ <br /> <br />t:r../' C '/#;7 <br />OO!tPANY ":" 1 tAl <,tL_/ -4?~ t1r <br />1/........... Stat.e Cer _ or Re~t.., (;> 0 c;-f /,< <br />~ City License Regist.rat.ion I 7/ <br />~***.*********.*****.*******..*.********** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br /> <br />01"IJER <br /> <br />COID'ANY <br />State Cert.. or Regist. # <br />Ci~ License Regist.rat.ion !# <br />************.**.*.*.***~*****.************ <br /> <br />Signa t:ure <br /> <br />~.,..... . ;:'~"~l ,1' II' ".. ,p/ . ~ <br />t l ~'''', 1/-; , ~",I 't.~ <br />APPLICATION APPROVED BY <br /> <br />J>,~ <br /> <br />;.,,,,j <br />-" <br /> <br />PERKIT OFFICER. <br />