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<br />APPLICATION FOR PERKIT <br />. <br />CIlY OF ZEPIIYRIIILLS <br />BmLDDiG DEPAImIEIiT <br /> <br />OWNER'S IWtE p?: cl/.e /fV' ~-&/I ~ C <br />OWIIER'S ADDRESS ?i!1 7.'ij /let' ~C' ,~/~'-' <br />./ <br /> <br />JOB ADDuss376~r /t(e~~~.k)O/ <br /> <br />PIIOIIE'<J'%J / '7<:? .2 -f 2 y0 <br /> <br />PARCEL LD.t <br /> <br />/:l~_ 7"'--/.' -,_ ,/./ <br />c/ i' 7,.. ,.c ;c., ......J::.JJf;:7 <br /> <br />~o (J..o 2. ( '_/.) A.P' L./hh . /--/< ..:,'" YS-9'/ <br />~" , / / <br /> <br />BJ.OCK.6 SUBDIVISIOII _A/'ec.~~cJd G.r~~ <br />I 3 ~~ rJ-/ -I f- {!) - /0/ ;L~ <br /> <br />2C. <br />. <br /> <br />LEGAL DESCRIPI'IOlI: Wf(S) <br /> <br />WORK PROposFJ):~ Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_De801ish <br /> <br />PROPOSED USE: L- ~e Faai1y <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_ec-ercia1 <br /> <br />_Indust. <br /> <br />_Swia. .P001 <br /> <br />Other <br /> <br />~t:aurant &- Hea1th ~t Approva1 <br /> <br />'70;:0 ~/(I .. I <br />BUILDDiG SIZE: 5...> 'f X 4/:]. , <br /> <br />/ 3S~-:3 <br /> <br />~e Feet, <br /> <br />/' <br />? <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COttItERCIAL : <br /> <br />ATTAaI (2) PlO1' PLAIIIS &- (2) SEI'S OF BUllDDIG PLAIIIS &- (1) SEt' EllERGY FORtIS. ** <br />ATI'AaI (3) SEl'S OF BUII.DDiG PLUS &- (1) SET E!IER.GY FOK.IIS. ** <br />**oopy OF oollI'RACf KIlQIDlUl'D. <br /> <br />PEmIITS REOUESTED <br /> <br />_BUTI.DIIIG <br /> <br />$ JS; GoD, DO <br /> <br />Va1uation of Tota1 Construction <br /> <br />_ELECTRICAL <br /> <br />.I s--D AtIP Service F10rida Power Corp. <br />S // e Of!). C50 Va1uation of llechanica1 Installation <br /> <br />W.R.E.C. <br /> <br />--1fEaIAIIICAL <br /> <br />_PUllBDIG <br /> <br />GAS <br />t~ <br /> <br />:ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF mliSTKUCl'IOIi: <br /> <br />_Fnme _Stee1 <br /> <br />01:her <br /> <br />FDIISIIED FLOOR ELEVATIOIIS: <br /> <br />FI' . <br /> <br />IS PRO.JECT IIi FLOOD WIlE AREA! <br /> <br />YES liD <br /> <br />****************************************** <br /> <br />RITTTDl:K. ...--/)j1/L?JI Li <br />S. ..... ./~v /-v <br />19Dature .-"' <br /> <br /> <br />,cornRACI'OK. SECI'ION <br /> <br />OO!tPAn ;e. fC~ E_.6' u,.-/ ~ .....;?;t c , <br />State Cert. or Regist.' Cdc O~Ry7S- <br />City License Registration' . .:;a ;] <br />************************************** <br /> <br />~ ~);,~('-'.fl'LUlDlPAIIY [I{);J/.eI~ ['Ltc.., .fC'> <br /> <br />. ~: ./ , , /i'~ v -~ S?-te ~rt. or R-:gist..' r:;.~ a,;)o 73::L <br />S on e' ~ L-e,... Cd:y L1cense Reg1St:rat:1on' .:2 j tj <br />****************************************** <br /> <br />PI.DIBER OO!tPMY <br />/1 / ~ State Cert. or Regist:. , <br />Signat:ure tVV( ~~--- City License Registration' .;2 '7 <br />****************************************** <br /> <br />KECHAlfICAL c:DIPMlYErl7,v/7 rOdi,",J"p T 1I~~/,:.c..:~ /.vc <br />. d I /J-# Co" J -.p.../1L. S?-. te ~rt. or R-:gist. .' R rJ 00 r; 0 q So <br />S1goa.ture -~~k. c:C.. ~~ ri7 C1ty L1cense Reg1Strat1on' 10& <br />******.*********************************** <br /> <br />O'I"IIF.R <br /> <br />5 igoat.ure <br /> <br />c:DIPARY <br />State Cert. or Regist. ,2/1 ()(}~CI <br />City License Registration , <br />**************..************************** <br /> <br />APPLICAfiOli APPROVED BY <br /> <br />!1~ ,/j //I-<lMr <br /> <br />PERIII1' OFFICER. <br />