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<br />APPLICATIo.N FOR PERllIT <br />CIlY o.F ZEPIIIRBIU.S <br />Bm:LDDiG DRPARnIENT <br /> <br />PIIOIIE 90 If - r:; 6 r; - 1-- C i tJ <br />/ , tJ J (. 1 i '::: L- /105 jot/,h /1-I-I}..5T <br /> <br />5r """ e LJ IJ" t< /, /I/j F L <br />I / <br />BlOCK h SUBDIVISIo.lJ <br />OO( 0 .., 006 tJO -- {)IJGo <br /> <br /> <br />OWNER · S ADDRlrSS <br />Jo.B ADDRESS 4' r ~j 5 () (/ t I? <br />LEGAL DESCIUPl'IOlI: IDI(S) 6 <br />PARCEL I.D.' I Lf... J- b - J- I .- <br /> <br /> <br />OWNER · S IIAKE <br /> <br />won PROPOSED:_lIev Construction _Addition _Alteration _Repair J Install <br /> <br />S. <br />- J.gIl <br /> <br />_Hove <br /> <br />_ne.o1ish <br /> <br />PROPOSED USE: \ / Sing].e Faai1y <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_"/H <br /> <br />_~rcia1 <br /> <br />_IDdust:. _Swia. P001 <br /> <br />o.t:her <br /> <br />~t:aorant &; He.a1t:h >>epan:.ent Approva1 <br />BUILDIIIG SIZE: '}tJ J-x:J..-& . J 9 7 ~e Feet, <br /> <br />10/ <br /> <br />Height <br /> <br />RESIDENTIAL: ATrAaI (2) PI.OI' PLUS &; (2) SEI'S o.F BUllDIIIG PIAJIIS &; (1) SET EllERGY Fo.RMS. ** <br />COItIIERCIAL: ATI'AaI (3) SETS o.F BUlLDIBG PI..MS &; (1) SET DIERGY FORItS. *... <br />"'*ropy o.F rotfl'KACI' lUlQm::RIlD. <br /> <br />PERI!IITS REQUESTED <br /> <br />_BUILDIIIG <br />~ELECl'RICAL <br />~CAL <br /> <br />$ <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />MIP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ 1'100 <br /> <br />Va1uation of tlechanica1 Installation <br /> <br />_PLmIBIIIG <br /> <br />GAS <br /> <br />KOOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE o.F mllSmUCTIo.N: _B1ock LF-ra.e _Stee1 <br /> <br />o.t:her <br /> <br />FIllISHED FLOOR ELEVATIOIiS: <br /> <br />Fr. <br /> <br />IS PHOJECT III FLOOD ZOO AREA! <br /> <br />YES NO. <br /> <br />*****......*************......****...*************...* <br /> <br />COlII'I'RACIOR SECI'Io.R <br /> <br />RUTTJ)ER aBPAIUY <br />St:ate Cert. or Regist. I <br />Signature City License Registration I <br />*...****......***************...*****************... <br /> <br />~:~ ~ OOIIPMY ROLf f/z r liU C 112'1 <- <br />St:ate Cert. or Regist.' 1t'~oo I 2 2 2 r <br />-=-II!!A~ ~ City License Registration 'V .~ '3 ( <br />'** ****...****...***************************...... . <br /> <br />OOIIPANY <br />State Cen:. or Regist. I <br />City License Registration , <br />**...***............**............******...**...*****.........******...* <br /> <br />PLOKBER <br /> <br />Signature <br /> <br />ItEaWlICAL OOIIPMiY 0 'f) IJ ~ /FV'Q /) ~ A;,,{ d/ltll 'II ',;;/;. D~j /-Ie.9 J /" J <br />..- ~/i'~ State Cert:. or _. It./! c "J/ <br />Signature ~L/h-.. '/ / City License Registration' . I ;;... I <br />*******...*********************************... <br /> <br />0'nIm OOIIPANY <br />St:ate Cert. or Regist:. , <br />Signature City License Registration , <br />...**...**********...*****...***************...***** <br /> <br />APPLICATIo.N APPROVED BY PERIIIT o.FFICER. <br />