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<br />" ' <br /> <br />APPLICATIOIl FOR PERItIT <br />CITY OF ZEPllYKBILLS <br />B([(UUliG DEP~ <br /> <br />OWNER · S RAKE <br /> <br />7?l..l5. S 1: LL ,-S T ~ 0 He: K E R... <br /> <br />PIIONE % <br /> <br />7 9 2-- .227 tc. <br /> <br />OWNER I S ADDRESS tJ () 4.3 <br />JOB ADDRESS \. S' /.} rlc <br /> <br />ZePJ.I VR <br /> <br />7? I Dr; G" YR. <br /> <br />ZeflH YR In i-LC::: <br />, ) <br /> <br />FL. <br /> <br />.5035'10 <br /> <br />AS lIf5ove- <br /> <br />LEGAL DESCRIPTION: LOI'(S) <br /> <br />7 <br /> <br />BI..OCK <br /> <br />SUBDIVISION <br /> <br />ZE;J/lVt:'.. <br /> <br />7?fDt;,iT <br />, <br /> <br />PARCEL LD.' 3 - :1(0- :J.,J- O/~. 0 - 000. OD-7)07 ,n <br /> <br />WORK PROPOSED:-*-JJev Construction _Addition _Alteration _Repair _Install <br /> <br />S. <br />- 19D. <br /> <br />_lIfove <br /> <br />_DeIIo1ish <br /> <br />, _"7 <br /> <br />PROPOSED us~ind.e F~i1y <br />_<=<-ercia1 <br /> <br />_"IF <br /> <br />_, of fuits <br /> <br />~/H <br /> <br />_Indust. <br /> <br />_Swa. Pool <br /> <br />Other <br /> <br />_Rest:aurant & Bea1t:h ~t Approva1 <br /> <br />BUILDIIiG SIZE: :l g X 'I~/gl: <br /> <br />/31f4 <br /> <br />Square Feet, <br /> <br />/ S70ey <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cottKERCIAL : <br /> <br />A1TACII (2) PL.OI' PLUS & (2) SEI'S OF BUIIJ)DiG PLUS & (1) SET EllERGY FORMS. ** <br />ATTACH (3) SEI'S OF BUIIJ)DIG PLUS ,& (1) SET ENERGY FORKS. ** <br />**COPY OF COIlTRACT BEQUIRIlD. <br /> <br />PERKITS REOUESTED <br /> <br />-*-BUILDIIiG <br />-LELECTRICAL <br />~KECllAlfiCAL <br />-LPLUKBIIiG <br /> <br />$ <br /> <br />3/000 <br /> <br />Va1uatiOlil of Tot:a1 Construction <br /> <br />II) fJ AItP Service <br /> <br />F10rida Power Corp. <br /> <br />-*,-W.R.E.C. <br /> <br />s <br /> <br />/~oo <br /> <br />V'a1uation of Hecbanica1 Inst:allation <br /> <br />- GAS <br /> <br />ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF COIiSTRUCTIOIl: _B1ock _Fraae _Stee1 <br /> <br />}.1u <br />. <br /> <br />Other <br /> <br />FIliISBED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ---*- <br />YES NO <br /> <br />****************************************** <br /> <br />COIIURACI'OR SECTION <br /> <br />BmT J)ER <br /> <br /> <br />,,/ <br /> <br />/ CDHPANY JI-r R. iN 7F. f2. S TAre: J1 D A j L.. >=< Iff) Hes IIV C- <br />St:ate Cert:. or Regist:. , <br />City License Registration , "3 ") (n <br />****************************************** <br /> <br />Signat:.ure <br /> <br />Si <br /> <br /> <br />MY e of- 1./ Jol2. 7)lh..) <br />St:ate Cert. or Regist _ , <br />ity License Registration . <br />***************************** <br /> <br />8 I-E (! rR4 <!-- <br /> <br />.35 <br /> <br />PUllBER ~ T~ lXIIIPAlIY 1(&'1-:;;0"'- 'f?'I'1J>'J <br />, /J ~ St:ate Cert:. or Regist. , <br />Signat:ure City License Registration I In 7 <br />/ ~*********"'*'I1I:""*"""'''''''iir''''''''''''*********i!:-!:-* <br /> <br /> <br />CDHPAllff 13 /J /,! R..s p RA.1 PI} JJ 2 <br />St:ate Cert. or Regist. I <br />~ ity License Registration I <br />****************************** <br /> <br />~AS <br /> <br />7$' <br /> <br />AA)D <br /> <br />A/e- <br /> <br />O'I'IIF.R <br /> <br />S ignat:ure <br /> <br />CDHPMJY <br />St:ate Cert. or Regist. , <br />City License Registration , <br />******************* ********************** <br /> <br />APPLICATION APPROVED BY <br /> <br />,I <br /> <br /> <br />PERMIT OFFICER. <br /> <br />..... <br />i <br /> <br />f <br /> <br />~-""....,'(OJIIIIlI~'". <br />