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<br />APPLICAnOIl FOR PERKIT <br />CIlY OF ZEPBYImILLS <br />BUIIJ)DiG DEPARIIIDT <br /> <br />,..-~ C) <br /> <br /> <br />71<. p: 1&:/~c;3 <br /> <br />OWNER'S IiAIIE /1).4, fl) ~Jmt)NJ <br />OWNER' S ADDRESS /J. (), IS(.)~ s )' t <br />JOB ADDRESS /o.f J lJ ~ <br /> <br />PHOD ? J":,?' - l rr ") <br />Z- fjJ -1)~~ /(.' //s /:::4. <br /> <br />LEGAL DF.SCRIPI'IOII: wr(s) / 0 -3 <br />PARCEL I~D.' /0 - ol ~ - 2/ ~ <br /> <br />WRK PROPOSED:_L.-je;; Construction --.J\ddition _Alteration _Repair _Install <br /> <br />S. <br />- 19t1 <br /> <br />_Hove <br /> <br />_De.o1ish <br /> <br />PROPOSED USE: <br /> <br />~le Faai1y <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_ec-ercia1 <br /> <br />_Indust. <br /> <br />_Stria. P001 <br /> <br />Ot:her <br /> <br />'Rpst:aurant &: Hea1t:h ~t Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COttIIERCIAL : <br /> <br />ATTACH (2) PLOl' PI.AIiS &: (2) SEI'S OF BUILDING PIAIIS &: (1) SET ENERGY FORKS. ** <br />ATtACH (3) SILTS OF BUILDIBG PI..ANS &: (1) SET DIERGY FORKS. ** <br />**roPY' OF rollI'RACT KIlQUIRED. <br /> <br />PERKITS REOtJ&<iTED <br /> <br />_BUILDING <br /> <br />$. <br /> <br />Va1uation of Tota1 Construction <br /> <br />~CAL <br />~CAL <br /> <br />AKP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$. <br /> <br />Va1uation of Kechanica1 Ins1:allation <br /> <br />_PIDlBDfG GAS KOOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF mNSTRUCTIOIi: _B1ock _Pralle _Stee1 <br /> <br />Ot:her <br /> <br />FINISHED FLOOR ELEVATIOIIS: <br /> <br />FI' . <br /> <br />IS PJlO.JEC!' III FLOOD ZOIlE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />RmT.Dnt <br /> <br />aJIII'KACIOR SEC1'IOII <br /> <br />COItPDY bJ,/), dr-v'MIj,v,"", <br />Ir/ () a State Cert:. or Jlegis~. , <br />.' '/U~ City License Registration , <br />****************************************** <br /> <br />{J'1J S fi'lv ~;., 11,.., 7-"^" . <br /> <br />Signature <br /> <br />-;I <br /> <br /> <br />PLOIBER <br /> <br />COItPARYCt-~(? j~~ {~. ~ <br /> <br />State Cert. or Regist.' 6 (J / :L / l/ I <br />City License Registration' ~.O ~ <br />****************************************** ~ <br /> <br />, lDIPAIIY CLjl~u ~('-1 <br /> <br />State Cert. or Regu;t. , <br />'0 City License Registration' / ~ S <br />* **************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />~', <br />~ <br />~) <br />'---./., <br /> <br />lDIPAIIY X; ,u~~ C~{r~ <br /> <br />~ State Cert. or Re . t. . tP,C) ~V /;<. <br />~. /'-.---z~, ,... City License Registration , :;z: / <br />~***************************************** I <br /> <br />KECBAllICAL <br /> <br />0'THIt'R <br /> <br />COItPMIY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />'.-.. .i.>,:it <br /> <br />~. ~OfflClDl..i <br /> <br />APPLICATION APPROVED BY <br />