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<br />.....-..--_.-_.-----,...--~~-,..--_.- <br /> <br />APPLICATIOlNl FOR PERHIT <br />GI'IY OF ZEPlIYRlIILLS <br />BUILDIlNlG DEPAR'IHE'Br <br /> <br />s\ ~1:3 <br /> <br />... r '~ -"" <br />.-') <br />GA \' <br /> <br />\",.1 ,'~.- ' . <br /> <br />PllO!!m <br /> <br />OWNER'S NAME l (' ,,;-' ,. <br /> <br />OWNER'S ADDRESS <br /> <br />\2i \ \) \ <br />J _ ...,.- ... <br /> <br />...... -.-', <br />t t".r ...." t"', <br /> <br />r "- ""!' -(~., '. ' ""', <br /> <br />JOB ADDRESS <br /> <br />Soc .7 <br /> <br />r <br />__.,J <br /> <br />LEGAL DESCRIPTION: wr(S) 1'2., 'i 1,0 <br /> <br />RLOCK \ \.p 0 SUBDIVISION <br /> <br />\\ 'C,,~.,JSh:(~ ~~l.os ,'''':,,)>>:.,(' 'F <br />. <br /> <br />PARCEL LD.I <br /> <br />\'-J~-21 <br /> <br />C> 0 '0 - I Ci 000 -- 0 I ~(" <br /> <br />lroRK PROPOSED :_Nfew Const:ruction <br /> <br />_Addition <br /> <br />\ j <br />2-Alt.eration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />--"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single F3Ilily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_H/H <br /> <br />-,--ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other, <br /> <br />_Restaurant & Health Deparblent Approval <br /> <br />BUILDING SIZE: B ~ X I> 'Z> J <br /> <br />'" U '\ <br />-.)l <br /> <br />Square Feet, <br /> <br />I " <br />rz, <br /> <br />Height. <br /> <br />RESIDENTIAL: <br />COKHRRCIAL : <br /> <br />ATTACII (2) PLOT PLAliS &: (2) SETS OF BUILDING PIJ\NS &: (1) SET ENERGY FORMS..,u- <br />ATTACH (3) SETS OF BUILDDilG PI.ANS &: (1) SF:I' ENERGY FORMS.-f<* <br />**COPY OF CONTRACT REQlU.RIlD. <br /> <br />PHmtITS REOlW_'iTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construct.ion <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power 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 />ROOFllfG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_F'nmIe _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR EI.EVATIO~S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*****-f<***********************************~ <br /> <br />COJrilTRACY'OR SECTION <br /> <br />BUILDER . <br />Signature~~ ~ <br /> <br />. <br /> <br />CUKPMfi-1M~/t 'Sldd, <br />State Cert.. or Regist.. I <br />City License Registration <br />****************************************** <br /> <br />~lj)" <br />it< ~~~ $~ZJ(r. <br /> <br />ET.ECTRICIAN <br />........-, / <br />,"", / <br />Sismature "/. p '/(/ <br />.f / <br /> <br />. ) <br />COlIIPAHY .' j '- YY"(,,; .., ' ; ~ -~ ...( <br />/ / State Cert. or Regist. 1# 0(:; <br />/( /" (. City License Registration f <br />****************************************** <br /> <br />L 'i~. < <br />/.:z.. J '-lL__ <br />/,,:.,/ {,~' t, <br /> <br />/ <br />PLUKBER COllfPAIiY <br />Stat.e Cert. or Regist:. I <br />Signature City L,icense Registration I <br />*~*~~*******************~**********~~***** <br /> <br />MECHANICAL CO!jpA!NY <br />State Cert:. or Regist. , <br />Signature City License Registration I <br />************************************~***** <br /> <br />01'1JER cmfPAHY <br />St.ate Cert. or Regist.. I <br />Signature Ci~ License Regist.ration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PER.J,.>tfIT OFFICER. <br />