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<br />APPLICATIOIN1 FUR rLRHIT <br />CITY OF ZR'PIIYRlnU.5 <br />BUILDING DEPARl'HE.Wf <br /> <br />O~'S NAKE [I'ILy,'11 L81Z!iv' <br />OWNER'S ADDRESS 3 b '1/t.f J ON-VA- (,j. <br />JOB ADDRESS ~9 0 I <br /> <br />LEGAL DESCRIPTION: wr(S) - S 2.- <br />/0 -.;(~.:- ,;l J - 0/ ,)0 - 00000 -- <br /> <br />G;,e (- f-/J b f /l./l t./ <br />I <br />BLOCK <br /> <br />PARCEL 1. D . # <br /> <br />""ORK PROPOSED: ~ew Construct.ion ~dition _Alterat.ion _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~gle F3IIIily <br /> <br />_KIF <br /> <br />_, of Unit.s <br /> <br />_H/B <br /> <br />_CoImercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Restaurant & Dealt:h Deparhlent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t , <br /> <br />He igh t <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACII (2) PI.OT PLAHS & (2) SEIS OF RUIIJ>ING PLr~S Ii 0) SET ENERGY FORH.<i. H <br />ATTACIl (3) SRTS OF BUILDDilG PLAlfiS & 0) SET ENERGY FORMS. ~~ <br />~~COPY OF CONTRACT REQIUlUID. <br /> <br />PERmTS REOUP$TED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Va1uat.ion of Tot.al Constolction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida P~"C r COrp. <br /> <br />~.C. <br /> <br />_KECllANICAL <br /> <br />$ <br /> <br />Va1uat.ion of Hechanical Installation <br /> <br />_PLUHBING <br /> <br />Gi\S <br /> <br />ROOFING <br />~ FraIIe _Steel <br /> <br />SPECL\LTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />Other <br /> <br />FINISII:,ED FLOOR ELEVATImilS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE: AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />~~~~~~~**~~~*~**********~~~*~**~**~~~~**** <br /> <br />~ <br /> <br />PJ.lJlMR ER <br /> <br />COlln'RACTOR SECTION <br /> <br />A COlIfPMIIY W. A. VW.IY\11 fJ""" G..,)~J-. ,hI,." <br />Ii ) 0 St:atc Cert:. or RcgisL ill ()C) z.o Jf2. 't <br />~,_______~~ City License Registration * ~/ <br />******~******~****~~**~~~i1*****~~.1lc**~*** ~ tJ 4 <br /> <br />COlfPMn{~~~~-<-L'rt0J.~~ <br />State Cert:. or Regist:. # {) ()/:[J </ / <br />Cit~. License Regist:.ration ;J /~ db <br />********************~*****~*~****~*~****** <br /> <br />: .. {. j ClJlfP-L.il~~((tc".~ €< P{~lt"7 <br /> <br />J('1 ~,' / ,(. "1:;"1 St:a~e GerL or Regi'sL jf, I <br />'jJA? \ rX((~( It/; ~I)')..----- City I.,icense Regist-ration' / d-- ~ <br />. **~****~*****~********~***~~~*~*~~~~~*~~** <br /> <br />RUILDY.R <br /> <br />Signature <br /> <br /> <br />Si <br /> <br />Signature <br /> <br />Mf:CJ1AmCAL <br /> <br /> <br />OO!fPANY K l..v <$ & <br />St:a~e CerL or Registl" , <br />~ Cit.y License Registration <br />********************~****~*****~~******* <br /> <br />~ <br /> <br />c ~'~M. <br />, f!) :l-. <br />11 7/ <br />, <br /> <br />Signature <br /> <br />OTIlER <br /> <br />\._-'.'" <br /> <br />cmtPARY_ <br />State Cert <br />City Licen <br />*****~********~*********~** <br /> <br />or Re~ist. i# <br />Registration 1# <br />~~*~***~***** <br /> <br />Sienature <br /> <br />APPLICATION APPRO~~D BY <br /> <br />J1 d<tJ.<'.-<~ :x!I-.L^ "']v..-,.- <br /> <br />PE&~T OFFICER. <br /> <br />.. <br />