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<br />lI!!!r <br /> <br />APPLICATJ:OlNl FOR PHRMIT <br />CITY OF ZEPJIYRIITLI.5 <br />BrJJD:.Dll!i1G DEPI\RTHRlN1T <br /> <br />Oft"N'ER r S NAME '. (\]//7 -!'L I ;), ~" -, f4F1? i~ Sr.))i <br />OWNER r S ADDRESS ,7 c.-) / {* (.. I) TfJ /7 ( ) i= <br />/ <br /> <br />.JOB ADDRESS , <) / '77/7 7 .-;:::.- <br /> <br />PI 10 !!liE <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDH"ISION <br /> <br />PARCEL LD.# <br /> <br />/ <br />"'URK PROPOSED:_lMew Construction _Addition ;/ Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Iliove <br /> <br />_DeJllolish <br /> <br />PROPOSED USE: <br /> <br />,. . <br />· Single Fauily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_Cowmercial <br /> <br />_Indust. <br /> <br />_Swim. roo 1 <br /> <br />Other <br /> <br />_Restaurant & Health Deparl:lllC'nt Approval <br /> <br />BUILDING SIZE: <br /> <br />'!. x/!. <br /> <br />. -;C- ./\ c j::A ~<ty(,,,, Square Feet, /9 (' <br /> <br />/ . <br />PH~ight <br /> <br />RESIDENTIAL: <br />COHHRRCIAL : <br /> <br />ATTACII (2) PLOT PL.i\NS' & (2) SEIS OF BTf,llDING rI.ANlS & (1) SET ENERGY FORMS. ** <br />AlTACJI (3) SETS OF BUllDllilG PLANS & (1) SlIT ENERGY FORNS.~~ <br />c!:c!:COPY OF CONTRACT RE:Qm:RED. <br /> <br />PEIDfITS REQUP_<iTEf) <br /> <br />_BUILDING <br /> <br />$ <br /> <br />I'.r."'r-.".~ <br />~Y{ ( <br /> <br />Valuation of-Total Constnlction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida POl-"Cr COrp. <br /> <br />\i.R.E-C. <br /> <br />_MECHANICAL <br /> <br />.$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECL\LTY <br /> <br />TYPE OF CONSTRUCITON: _Block <br /> <br />_FraJlJe _Steel <br /> <br />)7 / c" /,i Other <br /> <br />FTNISlIED FLOOR ELEVATIOiNS: <br /> <br />PT. <br /> <br />IS PROJECT IN PLOOf) ZONE ARE~? <br /> <br />L// <br /> <br />c!:*c!:*c!:~~~*c!:**.*******~*c!:*c!:*c!:~**c!:*********** <br /> <br />YES NO <br /> <br />CONTlU\CT'OR SRCT'TON <br /> <br />Signature <br /> <br />r-~-"" <br />;/ <br />'. f <br />, <br /> <br />#-./// ~ (YJ? . <br />.,"; ;,--( / '- <br />/ <br /> <br />~./ ) .--- ----- <br />COiHPAlNY Ii,,) --;> CtJ,IL '~,J <br />State Cert. or Rcgist. #. L'A) ( Z',S::;-;Y'! / <br />CitY License UegistratioIl #: I '5';;- <br />********~.*******~************c!:*********** <br /> <br />nVIT.DY.R <br /> <br />ELRCTRICIAN OOHPANY <br />State Cert. or Rcgist. # <br />Siro'lature City License Registration iJ <br />***********~***.****************~********* <br /> <br />PUJKBER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration ~ <br />*c!:**c!:*c!:***c!:*************************~***** <br /> <br />Mt?ClTMUCAL COMPANY <br />State Cert. or Rcgist. if <br />Signature City License RegistratioIl ~ <br />c!:******c!:c!:*************c!:*c!:***************** <br /> <br />m COHPAHY <br />State Cert. or Regist. # <br />Sienature City License Registration III <br />*************.*************************~** <br /> <br />APPLICATION APPROVED BY PP.:R~T OFFICER. <br />