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<br />,- <br /> <br />APPLICA'T.I:OlN1 FOR Pmu-IIT <br />CI'lY OF ZEPIIYRllILI..s <br />nllTII..DIlN1G DEPAR'IHFl:1IIT <br /> <br />OWNER'S NAME '/-l.[113F .;I\T~~':\'e.Y"[vj kl;j... E- <br />OWKER'S ADDRESS-t.' / c-: (, <br /> <br />PHONE <br /> <br />, I <br />/L7/T <br /> <br />-S'/ I <br /> <br />.JOB ADDRF..sS <br /> <br />8"/c;; <br /> <br />/ ;77).; <br /> <br />.57; <br /> <br />LEGAL DESCRIPTION: LDT(S) <br /> <br />r <br /> <br />. ) <br /> <br />RI..OCK <br /> <br />SImDIVISION <br /> <br />PARCEL I. D . # <br /> <br />c: ~ -- --? {'( . - c~ <br /> <br />rn 2 C <br /> <br />{:: c,_~-/'D.- (.;r"2 ) <br /> <br />"'URK PROPOSED:_!!i.'ew Construction vAddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />~tf/F <br /> <br />_I of Units <br /> <br />_M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. 1'001 <br /> <br />Other <br /> <br />_Restaurant << Health Deparbment Approval <br /> <br />BUILDING SIZE: /C <br /> <br />X Z(- , <br /> <br />? ((: (~; Square Feet, <br /> <br />I <br />/L'J Height <br /> <br />RESIDENTIAL: <br />COHHRRCIAL : <br /> <br />ATTACll (2) PLOT PLANs << (2) SETS OF n~ING PLANS & (1) SET ENERGY FO~~.** <br />ATTACll (3) SilTS OF BUilDING PLAlNlS << (1) SET ENERGY FOmIS. ~~ <br />~~COPY OF CONTRACT RE:QlJTIRED. <br /> <br />PEMrITS REQUF_~TF.:D <br /> <br />_BUILDING <br /> <br />$ <br /> <br />:-) 1--- r - <br />~- - <br /> <br />Valuation of-Total \~nstnlction <br /> <br />_ELECTRICAL <br /> <br />MfP Service <br /> <br />Florida POli'Cr COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br />VFr3llle _S teel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />Other <br /> <br />ITl'fiSIIED FLOOR ELEVATIm~S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARF~-\? <br /> <br />YES NO <br /> <br />~~*~~~~~**~~***************~*******~~*~*** <br /> <br />CU1ll1T'RACTOR SECT'IOiN <br /> <br />RUH,DY.R <br /> <br />~j/~ / <br />/_'~C-;~-_;t/ f / /" /~;! ~-~ <br /> <br />COHPANY fJ..--J 5 Cc- 0-. /,C; 'j <br />St:ate Cert. or Regist.!If C i:; C C 3 :..~2 / <br />City License }{egisl:ration #= /_5-:5- <br />~~***~***~***~~**~~********~************** <br /> <br />Signature <br /> <br />F:T.ECTRICIAN <br /> <br />c:mIPANY <br />Stat:.e Cerl:. or Regist. #i <br />City License Registration * <br />**~********~**********~*~***************~* <br /> <br />Sirolature <br /> <br />PUJKRER <br /> <br />COHPANY____ <br />Stat:e Ceil:. or Regist. #f: <br />City License Regist.ration fj' <br />******************~**********~*********~** <br /> <br />Signature <br /> <br />MP.'CJ1ANTCAL CQHPMW <br />State Cert. or Regist. # <br />Signature City License Registration ~ <br />*~*********~****~*~************~*********~ <br /> <br />0T1TY.R COHPANY <br />State Cert. or Regist. #!: <br />Signature City License Registration ill <br />***********************************~~*~*** <br /> <br />APPLICATION APPROVED BY PF.RffiT OFFICER. <br />