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<br />...---...."....--.---- -"._--~_.'-'.- --. ,,~-'-'-' _.._.._",~~~., ~ . <br /> <br />APPLlCATIOX FOR PE!{~HT <br />CIlY OF ZEPIIYRJII LL'i <br />BUILDI~G DEPARHliEXT <br /> <br />JB ADDRESS <br /> <br /> <br />PHO\F <br /> <br />? r Z --:rt:1 z- 3 <br /> <br />Z ~ P flY-t( II I . ~l:LS ..r-E~ <br />I <br />3 ..(,; U{! <br />_____~____.::. __----L_..'--~ ( <br /> <br />...n!Il'S IWIE t'+-~4-if <br /> <br />.iNER · S ADDRESS ==3 9 3 / . <br />. <br /> <br />~GAL DESCRIPTION: LDI(S) <br /> <br />'1/ <br /> <br />BLOCK <br /> <br />SUTBDIVISIOX <br /> <br />'S (I IV '5 t=:. T 2 ') T.li_I.E c) <br /> <br />\RCEL 1. D . # } <~ - ;?, 0 - /:l.! - (, ~ / (; - [,~ c 0 (; <br /> <br />t;22IC' <br /> <br />JRK PROPOSED:_Xe1I<' Construction _Addition 1..:\lleral u:m <br /> <br />l(ep:l i r- <br /> <br />] 1: ~.. ( : 11 l <br /> <br />_Sign <br /> <br />_~ove <br /> <br />_Dc,,",ol isll <br /> <br />,OPOSE>> USE: <br /> <br />Single Fauily <br /> <br />_HfF <br /> <br />* of t-nils <br /> <br />-j!/I! <br /> <br />i <br />_ CoIiIIIJle rc ia 1 <br /> <br />_Indust. <br /> <br />_S'..is. Pool <br /> <br />Other <br /> <br />_Re~itaurant [. lIealth DepartJlll("nl Approval <br /> <br />JILDING SIZE: <br /> <br />X__, <br /> <br />Square fleeL, <br /> <br />He i f',h t <br /> <br />e:SIDENTIAL : <br />JHKERCIAL : <br /> <br />ATTACH (2) purr PLANS &: (2) SETS Of BurlI.I>I~G I'LAXS [,. (I) sn E?\r:RGY FtH(MS.H <br />ATTACH (3) SETS OF BUILDING PIA~S [. (1) SET E:!\ERGY FOR~{S. ~ ~ <br />uCOI'Y OF CONTRACT REQUlfllRED. <br /> <br />Pf.:RJ.'lfITS Rt:om:.<;TEO <br /> <br />_BUILDING <br /> <br />$ <br /> <br />~()(),{;(j <br /> <br />Valuation of Tota 1 ConstnlCl ion <br /> <br />_ELECTRICAL <br /> <br />i\.."iP Service <br /> <br />Florida I'O\<.('!- O),l'p. <br /> <br />___\,r. l( . E . C. <br /> <br />..-..MECHANICAL <br /> <br />s <br /> <br />Valuation of Mechanical InstaIJalion <br /> <br />_PUJKBING <br /> <br />GAS <br /> <br />ROOFH':G SPEC I :\I.TY <br /> <br />YFE OF CONSTRUCTION: _Block <br /> <br />_FraDe ____SLeel <br /> <br />OIlIer <br /> <br />INISHED FLQOR f;LEVATlOl!iS: <br /> <br />FI'. <br /> <br />IS PROJECT IN FLOOD ZO:\t AiUX: <br /> <br />----.roo <br /> <br />YES SO <br /> <br />~.*~*~~~~*~~*t*~~~*~~~~~~~~~t**~~~~~~~~~~~ <br /> <br />CONfR.ACYOR SFGnO~ <br /> <br />ignature <br /> <br />a>>i1'A."'iiY <br />State Cert. or Regist.. *_________ <br />City' License Registl-3tioil =F _____ <br /> <br />UILDER <br /> <br />.~*t*tt~*~~*~~t.~~*~~**~t~t~t~~**~~~~~~~~~ <br /> <br />i!!Il.3ture <br /> <br />aJiii P A1." Y <br />State Cert. or Reglsf.. <br />City License Registration <br />*~~~~..~.***.~..~~~t~t~*~~~~~*~*~~~~~~~~~~ <br /> <br />r..ECTRICIAN <br /> <br />ignature <br /> <br />a~lPANY <br />St:ate Cel-t. or Ref' i 51 _ :f: <br />I ,,------~----.----. <br />City License Regi~;u';tf. ion <br />*t~~*.t**~*.~~**~A~~~~~~~~~~~~t~~~~~~~~~~~ <br /> <br />LUKBER <br /> <br />cmtPA_XY <br /> <br />St--ate C('rf.. or Reg i5;(. ;,'._______ <br />City Li cellse Registr<lt iOll '.' ______ <br />******************.~a.**~*.*****~***~~~~~~ <br /> <br />t:CHAliI CAt. <br /> <br />igna Lure <br /> <br />~. <br /> <br />ignature <br /> <br />C{)llPA.XY _________.______________ <br /> <br />State Cerl. or Regis!. ________________ <br />CiL}" I..icen!;e l{egistl.a~..if.l~~ <br />*..~*.*~t~**~~~t~*~~**~~~~~~~~~~~~~~~~~~~~ <br /> <br />I.I.J!.ER <br /> <br />.PPLICATIOH APPROVF~ BY <br /> <br />jll i:~_~': i i- OFF I C~<!,~. <br />