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<br />"" <br /> <br />APPLICATION FOR PErnnT <br />CI'lY OF ZEPJlYRlII.I.I..s <br />BUILDING DEPAR'It'fE',itl1T <br /> <br />~. ~ <br />O\o!,"NER'S NAME\. "-:.:C) '-'- \ ~ ,.~\: ''{c","u t-.i. ";' .; <br />OWNER'S ADDRESS .~ ~ \l ~ ~~'(L"'- ~~\v8 <br />JOB ADDRESS S' 'f?\ \J-'\..~ <br /> <br />MIONlE <br /> <br />LEGAL DESCRIPTION: wr(S) <br /> <br />RLOCK <br /> <br />StmDIVISIONl <br /> <br />PARCEL L D. # <br /> <br />lo.'URK PROPOSED:_!!irew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />_Cowmercial <br /> <br />_Indust. <br /> <br />_Swim. rool <br /> <br />_M/H <br />~"'-'V_ \\.~ Other <br /> <br />PROPOSED USE: <br /> <br />Single F3Ilily <br /> <br />_"IF <br /> <br />_, of Units <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS. & (2) SETS OF BUJLDING PLAOOS & (1) SET ENERGY FO~~.** <br />ATTACTI (3) SETS OF BUTI.DDlG PLANS & (1) SET ENERGY FOR~IS. ~~ <br />**COrY OF CONTRACT RE',QrrnmD. <br /> <br />PERKlTS REOIW$TED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of-Total Constnlction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Prn~r Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECL\LTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_FraDe _Steel <br /> <br />Other <br /> <br />PINISTIED FLOOR EL.EVATIm~S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE :\RF~-\? <br /> <br />YES NO <br /> <br />***************************************~~~ <br /> <br />COJ!tUTRACTOR SRCT'IONl <br /> <br />Signature <br /> <br />COl!fPAHY <br />State Cert. or Rccist. , <br />City License Registration # <br />***********************************'1:****** <br /> <br />n UIT,Dm <br /> <br />P.T,RCTRICIAN @@ c:mIrANY7-~\...\\I~~'> ~ L~C\" <br />~\ ~ ( ) \ State Cert. or Recist. #= t)ClC:) <br />Si~atllre '~ City License Regist.ration 4 t <br />****************************************** <br /> <br />~l(..r <br />o <br /> <br />PT.TJlKRY.R COHPANY <br />State Cert. or Regist. # <br />Signature City License Registration i <br />************************************~*~**~ <br /> <br />PofEClT.!\JofI CAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration ~ <br />*****************************************~ <br /> <br />0Tlll':R. COm> ANY <br />State Cert. or Regist. # <br />Sien,ature City License Registration 11* <br />****************************************** <br /> <br />APPLICATION APPROVED BY rERKIT OFPICER. <br /> <br />II <br />