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<br />AFPi.I.:::AT":Oil FOR PEr.:UT <br />GI'IY OF ZEPHW.HTT.V.S <br />Bur.wIIiG DEPARIl/IE!i;T <br /> <br />OWNER' S <br /> <br />RA1fJlA!rki IJ ~. <br />ADDRESS .Ft'3',/ ~ .;j,-Ll~ 5L <br />~.J?tl~ ~~~ ~<<' j?4~f <br />./ <br /> <br />PHOSE <br /> <br />0WlIIER · S <br /> <br />JOB ADDRESS <br /> <br />LEGAL iJESCRIPl'ION: WI'(S) <br /> <br />~_SUBDIVISIOil <br /> <br />PARCEL LD.' <br />WORK PROPOSED:~5ev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_ftove <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_"'F <br /> <br />_, of fuits <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant 5: Hea1th ~t ~roval <br />BUILDING SIZE: / ~ x.21Jh. I /..2i ~7 Square Feet. <br /> <br />7~ <br /> <br />Height <br /> <br />RESIDENTIAl.: <br />COffttERCIAL : <br /> <br />Al'TAGII (2) PI.OI' PLANS ci; (2) SEI'S OF BUll.DIMG PLUS 5: 0) SET ENERGY FORKS. ** <br />ATI'ACII (3) SETS OF BUllDDIG PLAlIS &: 0) SET ENERGY FORKS. ** <br />**COPY' OF CONTRACT RI1J.!m::RED. <br /> <br />__BUILDIBG <br /> <br />o <br />tj../t? 3JY <br /> <br />$-..- - <br /> <br />PEmfITS ~~OESTRD <br /> <br />_ValtW-tiOO1 of Total Construction <br /> <br />_ELECTRICAL <br /> <br />_MIP Sf':rvi,~.:i: <br /> <br />_Florida Power COrp. <br /> <br />___W.R.E.C. <br /> <br />--.JfECHANl<':AL <br /> <br />~~. <br /> <br />~a1.tli3"t.iOlli of Kecbanical Installation <br /> <br />___PI.UKBDfG <br /> <br />GAS <br /> <br />ROUFTJIG <br /> <br />SPECIALTY <br /> <br />TYPE OF COliSTRUCTION: _Block __F'raIk __Steel <br /> <br />.. <br /> <br />Other <br /> <br />FDITSHED FLOOR ELEVATIOlliS: <br /> <br />PI' . <br /> <br />IS P.RO.JECT DI FLOOD ZONE AREA? <br /> <br />YES liO <br /> <br />********~****~~*******,c******************* <br /> <br />amrRAcroR SECTION <br /> <br />BUTIJ)F.R /7 fDfPAu.4.J'l A /.s' 4~",.,./) q/YI-../ <br />~ /' ./ / ~ State Cert. or Jregisr. I <br />Signature ----.- ~ .'( ./. Y ~ _ City License Registration , :1 / ~ <br />~ **..** *......********************..**** <br /> <br /> <br />si_ru4,...~C' ~,q~~) ~:~ ~e:~~:~i:" I /'J'j <br /> <br />~. ~~ [I' --***~........*..*..*... <br /> <br /> <br />PLOIBER cm.;pQY <br />St'"lte Cert. or Regist. I <br />Signature _ ____ ~_ Ci.1:y j.jr~'c;;p Rpgh;t".r~"ion I <br />***********.*~~******~**~~**************** <br /> <br />KECllAlUCAL lr...aPANY <br />State Cert. or Regist. , <br />Signature City Lic~e Registration I <br />**************~*************************** <br /> <br />01HER. COIIPJ.HY <br />State Cert. or Regist. , <br />Signature C~ty License Registration , <br />************._*.::-,....*..a-*******......**...*...*...***...** <br /> <br />APPLICATIOR APPROVED BY PERKIT OFFICER. <br />