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<br />!! <br /> <br />APl'I.:I:CI..'..InJN1 FOit PE.'RJ1UT <br />CITY OF ZEL"JIYRlIII.T..s <br />BVJJILDIl!ilG DRPAR1'UH.1NJT <br /> <br />Olo\"NER' S NAME <br /> <br />:q <br /> <br />d l' <br /> <br />~.,~~~,.;,., <br /> <br />S) I lvy, C --1- ~ <;. <br /> <br />PHONE <br /> <br />owxrn's ADDRESS U i.t I Y <br />~ <br /> <br />JOB ADDRESS <br /> <br />1---~ <br /> <br />I.EGAl. DF..5CRIPTION: LOT(S) <br /> <br />BT..ocK <br /> <br />SUBDIVISION' (S'; ~ t <br /> <br />e o<Z .r<. ~ <br /> <br />PARCEL I.D.I 'J - Q~ - J....\ <br /> <br />r~ <br /> <br />c <br /> <br />~'-- <br /> <br />,,"'URK PROPOSED:_!1l1ev Construction --.ft\ddition _Alteration _Rer~'lir _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Dellllolish <br /> <br />PROPOSED USE: <br /> <br />Single Fanily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_Conaercial <br /> <br />_Indus t. <br /> <br />_Swim. 1'001 <br /> <br />Other <br /> <br />_Restaurant & neal~ Deparbment Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACIT (2) PLOT PLANS, & (2) SETS OF n~DING rLANS & (1) Sf~ ENERGY FORMS.** <br />ATTACIT (J) SliTS OF BUILDING PLANS " (1) SET ENERGY FOmIS. ~~, <br />**COPY OF CONTRACT RE'QUIRIID. <br /> <br />Pf!mn~ RF.,QUF.STP.:O <br /> <br />_BUILDING <br /> <br />$ <br /> <br />I i, ao 1.; <br />I <br /> <br />Valuation of-Total Constnlction <br /> <br />_ELECTRICAl. <br /> <br />AKP Service <br /> <br />Florida POl~r a)rp. <br /> <br />\-l.R.E.G. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPEGL\LTY <br /> <br />TYPE OF CONSTRUCTION!: _Block <br /> <br />_PraJlle _Steel <br /> <br />Other <br /> <br />F'INISlIED FLOOR Er.EVATIm~S: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE ARFA? <br /> <br />YES - NO <br /> <br />*****~~~~******~***~*******~*~***~*~~~~*** <br /> <br />RUIl,orn <br /> <br />COllfi'lU\croR SECT'IOIN <br /> <br />COHPAINY_l'L....-"'-~ ~ (/ cr-/~ <br />State Cert. or Regisl. II! e.(7(...(j)....~<y;..-/ <br />City I..icense Registxation ;j: <br />*e~~~***~*****e********e*~*.*~ <br /> <br /> <br />Signature <br /> <br />PI.tlfKBrn <br /> <br />6tL-- <br /> <br />boo '- It- P- <br />. C~ty License Regis~ration 4 ~ <br />**************************************** . J <br /> <br />' COlIPMfl' tJ _ _ '\ ~_ ()u.J" ~ <br /> <br />State Cert. or Regist:. #t (! fX-6f}...~~ <br />City L,iccnse Regis~ration tl <br />******************~~****~****e************ <br /> <br />~ 7 ( " <br />C'iMfPANY .' "\. t,LL/\ <br />Stat.e Cer ~C~iSt. if: <br /> <br />Si <br /> <br /> <br />011TY.R <br /> <br /> <br />c:om>Am!Y <br /> <br />~t3te Cert.. <br /> <br />~ <br /> <br />COUPANY <br />State Cert. or Regist. #t <br />City License Regist:ration #f ~ <br />*******************************~ <br /> <br />APPLICATION APPRO~~D BY <br /> <br />PERmT OFFICER. <br />