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<br />- <br /> <br />APPLICATION FOR PHrnnT <br />CI'lY OF ZEP.IIYRIULI..s <br />BUILDING DEPARTt'fE',itl1T <br /> <br />OWNER'S NAME R ~ Bl::XT '~'''.' 'R~ ~]-s: <br />OWNER'S ADDRESS 332 33 ~ =To E ;C'Of7!:J <br />JOB ADDRESS .5';2 3:2 6-~.f: 6Lt/,?J. 2-C::7>/T-Y/2/-r((. L$ / F< ' <br />, <br /> <br />!. // 7- 587-5 <br />MIONlE (;)(P <br />LJ/fCle- c/r-ct'~ ~, 335:2~ <br /> <br />( <br /> <br />LEGAL DESCRIPTION: WT(S) <br /> <br />RLOc:K <br /> <br />StmDH"ISIONl <br /> <br />PARCEL LD.# <br /> <br />,,"'URK PROPOSED: !!ire", Construction <br /> <br />~gn <br /> <br />----...Addi tion <br /> <br />_Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: <br /> <br />Single F3Ilily <br />V CoImIercial <br /> <br />_KIF <br /> <br />__, of Units <br /> <br />_M/H <br /> <br />_Indust. <br /> <br />_Swim. roo 1 <br /> <br />Other <br /> <br />Restaurant & Health Departaent Approval <br />- 1 I <br />BUILDING SIZE: 7.5 X I? , <br /> <br />Itr2,5. <br /> <br />Square Fee t , <br /> <br />55' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COtfHERCIAL : <br /> <br />ATTACII (2) PLOT PLANs & (2) SETS OF RUJIDING rlANS & (1) SET ENEHGY FORMS. ** <br />AITACII (3) SETS OF BUILDDilG PLMilS & (1) SET ENERGY FORJ!'IS .~~ <br />~~COPY OF CONTRACT RIl'.Q1HRED. <br /> <br />~/(rr,U <br />V BUILDING <br /> <br />/' ELECTRICAL <br /> <br />PEmlITS REQUESTED <br /> <br />$ <br /> <br />r 500.00 <br />7 <br /> <br />Valuation of-Total ConstnJction <br /> <br />MfP Service <br /> <br />Florida Pmi'er COrp. <br /> <br />W.R.E.C. <br /> <br />_HEClIANICAL <br /> <br />$ <br /> <br />Valuation of Hechanic~l Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br />_Fraae V Steel <br /> <br />SPECL\ i.TY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />(Jl. 1H nc-' <br /> <br />Other <br /> <br />ITNISlIED FLOOR RL.EVATIOJ!~S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZO~F. ARR~? <br /> <br />YES NO <br /> <br />~~~~~~~~~~~~~~~*******~~~~~~*****~*~~~*~~~ <br /> <br />roNJ'TR.l\CTOR SRCT'ION <br /> <br />n UIl,DF:R <br /> <br />Signature <br /> <br />d~ ;Y~ <br /> <br />CUl'!fPAlNIY <br />St:ate Cert:. or Regist. lit <br />CiLy License Registration # <br />****************************************** <br /> <br />&:5ooCJO fro <br /> <br />RI.RCTRICIAN <br /> <br />Si1!J1ature <br /> <br />dlo-vk- #~J <br /> <br />ampANY <br />State Cert:. or negist. iF t:?'-S c?ooO / 10 <br />City License Registrat:ion # <br />********************~************~******** <br /> <br />PUmRER <br /> <br />COMPANY <br />State Cert. or Regist. lit <br />City License Registrat:ion i <br />*************************~************~~** <br /> <br />Signature <br /> <br />MP..ClJANTCAL <br /> <br />c:::oHPANY <br />State Cert:. or Regist:. #: <br />City License Registration ~ <br />**************************************~*** <br /> <br />Signature <br /> <br />0TlTY.R. <br /> <br />CO.HPANY <br />State Cert. or Regist. 4ft <br />City License Registration lit <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPRO\~D BY <br /> <br />PERmT OFFICER. <br />