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<br />APl'LIGA'I'IOlNl FUR PERHIT <br />CI'lY OF ZE'.PllYRllILLS <br />BUII.DIl!iG DEPARnIE'NlT <br /> <br />OWER'S NAHE <br /> <br /> <br />OWNER'S ADDRJiSs-10CiD). <br /> <br />fJ. <br /> <br />n o(t ((]A <br /> <br />OAA Of;~r-.~ <br />h 1t4l'/tI <br />2pp~~ ~Hl-l.S <br /> <br />PlIONE <br /> <br />q; ,- () I Z- ~ <br /> <br />( 4orvlO1\, <br /> <br />JOB ADDRESS <br /> <br />lot.\z.~ <br /> <br />e,fl.eM~ \fJoCd <br /> <br />OLl V~ <br /> <br />LEGAL DESCRIPTION: LDT(S) <br /> <br />3 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />r [..1\,IOPi <br />I <br />Dn~od <br /> <br />/AiIl <br /> <br />PARCEL 1. D.I <br /> <br />WORK PROPOSED:-K..lNIev Construction ----i\ddiUon _All:eration _Repair _Insl:all <br /> <br />___Sign <br /> <br />_nove <br /> <br />_De.-olish <br /> <br />PROPOSED USE: <br /> <br />X Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_KID <br /> <br />_~rcial <br /> <br />_IndUSl:. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Rest:auranl: &: Health Deparblent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />3Bc,1 <br /> <br />Square Feet. <br /> <br />/0' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PI.MilS &: (2) SEIS OF BUIIJ)IHG PLANS &: 0) SET ENERGY FORMS. ** <br />ATTACH (3) SETS OF BlJIU)ll/IG PLANS &: (I) SET ENERGY FURMS. ** <br />......COPI' OF COlNlTRACT REQUIRED. <br /> <br />PEmlITS REQUESTED <br /> <br />~BUILDING <br /> <br />~ <br />$~57,o~O . <br /> <br />Valuation of Tot:a1 Constcucl:ion <br /> <br />_ELECTRICAL <br />-X..HECHAlUCAL <br />-LPLutmIBG <br /> <br />AMP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />lP <br />5,000. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />XBIOclt. <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fra.e _Steel <br /> <br />,Other <br /> <br />......**..............................*................................................................................. <br /> <br />YES <br /> <br />X <br />NO <br /> <br />FIIMISIIED FLOOR ELEVATIOltiS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />CONTRACTOR SECT'IOIN <br /> <br />Signature <br /> <br />~)J)d <br /> <br />COIfPMiIY OSS..I ~1MI("Tl.~ 1 TNl.. . <br />SLate Cer!:. or Regist.' c..C::ac:,n~c.Bbg <br />City License Registration' 38Cf <br />..........................................................................................*................................. <br /> <br />~ <br /> <br />BUILDER <br /> <br />~~ ......ARY \)"""I~ f.L"'",,\<- <br />St:ate Ger!:. or Regis!:. j ~ 0000.(2--'2- <br />Si ture City License Registration 1 ~S1 <br />-- .......................................... <br /> <br />l/ <br /> <br />PLmtBER <br /> <br />O~N1Ai,i,l / <br />f:.r:-r nl.f!)" ""'1 ,/ <br />I /&0 <br /> <br /> <br />......Mrr L)i2A-.+.O",L...;... ,S'f'fVwv:l, .~, <br />/11 ~ _ St:ate Cer!:. or Regist:. , (' /ii,-) .3tf7.3n <br />~ City License RegiSl:ration , <br />.................................*. :**........................*...........................*........................ <br /> <br />Signature <br /> <br />PfECBAliICAL <br />Signature C)~ !iYl~ <br /> <br />OTIIER COlIPMfY <br />State Cert. or Regist. I <br />Signat:ure _ City Licenc;e Registration j <br />"''''''''''''''''..................*...",... ,..,.."':I:'l!:...'l!:'l!:*:I:..............................'l!:............... <br /> <br />APPLlCAnON APPROVED BY PERKIT OFPICER. <br />