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<br />APPLICATIOti FOR PERKIT <br />CIlYOFZEPBYRIIILLS <br />BlJJIIJHJiG DEPAImIENT <br /> <br />OWIIER · S NAME <br /> <br />~Oo/V\ ,2, N\A~ <br />i:~ Ccth (1~ <br /> <br />PIlOn <br /> <br />1 g~;- ~lt3~ <br /> <br />0WIiER' S ADORFSS <br /> <br />JOB ADDRFSS <br /> <br />LEGAL OESClUPTIOl!f: <br /> <br />I.OT(s) <br />&- So <br /> <br />BlOCK-L-SUBOIVISIOR 2~p nee I-l e;~ h-tc:. <br /> <br />PARCEL 1.0.' <br /> <br />L~4 <br /> <br />,// <br /> <br />..-on PROPOSED :_lIev Construction _Addition _~eration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_De80lish <br /> <br />PROPOSED lfSE' ~ ----1I/F <br />_<=<-ercia1 _Indust:. <br /> <br />_, of Units <br /> <br />_"/H <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Rest:aorant &: Bea1t:h De~t Approva1 <br />jl{/ X 0' . <br />BUILDING SIZE: _ , t2 <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDERTIAL: <br />COItIIERCIAL : <br /> <br />A'lTACII (2) PI.OI' PLUlS &: (2) SEIS OF BUIlDING PUUlS &: (1) SEI' ENERGY FORKS. ** <br />ATI'ACII (3) SETS OF BUII.DIIIG PLUS &: (1) SEI' EIERGY FORtIS. ** <br />**COP1" OF CONTRAct RI!X!lJlIRI'.D. <br /> <br />~LDING <br /> <br />~ boo.i)O <br />;f, f61 ~ rrO - <br />$ ::s- r _~_ <br /> <br />PEmlITS REOUESTED <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />F.T.F.cnuCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.JIECIL\IiICAL <br /> <br />s <br /> <br />Va1uation of Hechanica1 Inst:allation <br /> <br />_PLUKBIRG GAS ROOFDIG <br /> <br />SPECIALTY <br />AkJ./Y7.Ll./Y1/1 Other <br /> <br />TYPE OF CONSTRUCI'ION: _Block _Fra8e _Steel <br /> <br />FDlISBED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJEct' III FLOOD ZOIlE AREA? <br /> <br />v'-' <br />YES NO <br /> <br />****************************************** <br /> <br />BmT.DER <br /> <br /> <br />CDrII'RACIOR SECI'ION <br /> <br />~ CO!IPANY ~ ~M.LA.~f3,A'~i~ ::IMr-. <br />State Cert. or Regist. I , ( 1~f'-l(J &~<O <br />City License Registration I ' <br />****************************************** <br /> <br />Signature <br /> <br />ELEcnuCIAR <br /> <br />SicmAture <br /> <br />CO!IPMY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />PLOIBER <br /> <br />CO!IPARY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />KECllARlCAL <br /> <br />CO!IPANY <br />State Cert:. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />llT'IIm <br /> <br />CO!IPARY <br />State Cert. or Regist. I <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERIII1' OFFICER. <br />