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<br />APPLICATIOIiI FOR PERKIT <br />CllY OF ZEPllYKllILlS <br />BUllDUG DEPAKIIIENT <br /> <br />OWRER · S RAKE <br /> <br />/( t4~, <br /> <br />r <br /> <br />g 0~~ /..2'7; C PIIOIIE cf8 -"7'2 Z r82 S/O <br />~/7e--1- 4ve" ~:.reJ' 1:><7' /' ~/'~?3grf/ <br />#&~e<.Joch(J ~CJ~ ,,' ?0Ay~/?:f ,,~~ , <br />SUBDIVISIOR /Z/er:::r.4-k:.l:-/ cr,c~ <br /> <br />//% <br /> <br />BL.OCK <br /> <br />OWRER' S ADDRESS ? 07 <br />JOB ADDRESS .....? <,7 S- ~% <br /> <br />LEGAL DESCIUPTIOlM: wr(S) <br /> <br />PARCEL I.D.' /3 -- ;;1 G -;:2/ -/~ - 0 -- JIg-- <br /> <br />WRIt PROPOSED:~ C'oostruction ~t:ion _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_ne.Dlish <br /> <br />PROPOSED USE: 1~1 e Faaily <br /> <br />_"'F <br /> <br />_' of Units <br /> <br />_K/B <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Svia. Pool <br /> <br />Other <br /> <br />BUILDIIfG SIZE: <br /> <br />_Restaurant & Hea1th Depart:aent Approva1 <br />I!( , ( <br />Sa 2 x t/ Z . /2 &t) ~e Feet. <br /> <br />?/ <br /> <br />Height <br /> <br />RESIDEIfTIAL: ATI'ACII (2) PI.OI' PIAI1S & (2) SEIS OF BUII.DIIIG PIAIIS & (1) SEI' EllERGY FORMS. ** <br />cottKERCIAL: ATtACH (3) SEIS OF BUII.DllIG PLUlS & (1) SET EIIERGY FORIIS. ** <br />**OOPY' OF OOIfTRACT REQUIRED. <br /> <br />_ELECTRICAL <br /> <br />PEHHITS RFOOESTED <br />$ ,~s:- ~ Jog Va1uation of Total Construction <br />( <br />2-&0 AKP Service ~orida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_BUILDTIfG <br /> <br />~CAL <br /> <br />s <br /> <br />1/ .8'W, 6C) <br /> <br />Va1uation of Kecbanica1 Inst:allaUon <br /> <br />_PlJllBTlfG GAS ROOFDG <br />TYPE OF OOIfSTRUCTIOII: ~lock _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PRO.JECT III FLOOD WIlE AREA! <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />aDlI'RACIOR SECTION <br /> <br />BUILDER m!lPMY / 0- ~e t1c#~.r ~c <br />.1\ / /J ' /7 I 7~ State Cert:. or 'Regist. . (" &C Qq-P9?.s-- <br />Signature )~~ City License Registration' ......?c2.::L <br />~ * ************************************* <br /> <br />=:;2: L2 m!lPAIIY (/D4/i; C ~C~(' <br />. ~~ / -Z ~ S~t:e <<:ert. or egist. _, JL. T' ,CE/ZDO/o 73"2- <br />_ ----Y /~ LL C1t:y L1cense Registrat1on' 2Z4- <br />******* ****************************** <br /> <br />PIDIBER ) OOIIPAriY /), Cc. ? / V-:rHb.l :j <br />./?_ /'" State Cert. or Regist. , <br />Signature(' ~r {.ffil~ City License Registration f c2 7 <br />****************************************** <br /> <br />KECllANICAL <br /> <br />Signature Ult T J:1tM <br /> <br />OOIIPAllYECO.Jd Cot7LI'.Jy 1- /7'ec.';'/~{l /A./C <br />State Cert. or Regist. . R 19 110f. o9S'o <br />Ii City License Registration' lo!o <br />****************************************** <br /> <br />CO!IPAIIY <br />St:ate Cert:. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />0T1IJI:R <br /> <br />Signature <br /> <br />APPLlCAnOIf APPROVED BY <br /> <br />114M.A",} p(f </) ./I-Ur. <br /> <br />PEBIIIT OFFICER. <br />