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<br />APPLICATIO~ FUR PEmtIT <br />CI'IY OF ZE.'PBYRlllLLS <br />BUILDING DEPARl'KF!Jrr <br /> <br />M// <br />URt9N5'f- e/cSSUN\ Uf\.Z);':?~A.(,.//{' /~/ <br />Y;)flj)~iZ(- //~ Z~4/L-~'/1s /j, <br />. " / <br />LEGAL DESCRIPTION: LOT(S)' 37 B.I.OCK SUBDIVISION uJ (-),c',,-I-KJ Our-l <br />/ <br />/0-;(& --:.7/ - ()/~O <br /> <br />OW'NER'S <br /> <br />NAME .DlJ f-)-N I- <br />7' 7 /0 <br />S5f3 <br /> <br />PHONE <br /> <br />7cf';'-S'/t.j6-- <br /> <br />OWNER'S ADDRESS <br /> <br />.JOB ADDRESS <br /> <br />//ja,,\/u^-, <br /> <br />PARCEL 1. D. # <br /> <br />OO()()()- 0 ~7 0 <br /> <br />k'URK PROPOSED:_~ Construction ----..Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_I!tove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />~~le F3IIIily <br /> <br />_fl/F <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_CoBsIercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Restaurant & Dealth Deparblent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) purr PI.AHS & (2) SEIS OF BUILDING Pl.;.\;.liIS & (1) SET ENERGY FORMS. U <br />ATTACH (3) SETS OF BUTI.DDilG PI.MlIS & (1) SlIT ENERGY FOR".IS. ~~ <br />~~COPY OF CONTRACT REXlUJIBJ]J). <br /> <br />PEIMITS REQUF_<)TED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Constnlction <br /> <br />_ELECTRICAL <br /> <br />AMP Service Florida P~'Cr COrp. <br /> <br />~C. <br /> <br />_HECUANICAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fr~ _Steel <br /> <br />Other <br /> <br />t'lHISIIFD YLOOR EU:.VATlm~s: <br /> <br />Fr. <br /> <br />IS PROJf~CT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />tttt*t******.*..*..t**t*ttt~t*****t~~t*tt* <br /> <br />CONTRACTOR SRCTION <br />. COIIfPMi1Y cJ.4/u fLl ,.".o#.v" C~)-v;~~ ;7 -^^- . <br />;JC..~ "O"~lr~ <br />I State Cert:. or Rcgist. 4# (j ,-" I)Z t{ <br />Signature t · f City License Registration if '1 ' <br />**.****....****..*******t**~*********t**~ _ ". ~ , <br /> <br />IYW\6p,,t,1WI..r ~?l~~L<_ 0'.. !J <br />~~ ~~I ~~~ <br />-/ / /J /7 State Cert. or Regist. iF 0 0 I :1..1 t/ / ' <br />S1 U-/~ Cit~. License Regi:,tnltion It dO b <br />***...**.**.*....****.******.~*****~**~**~ <br /> <br />BUII.DY.R <br /> <br /> <br />PUMRER <br />Signa tureV'C\/IJf--Jx <br /> <br />,1 <br /> <br />IZ1o-~_ <br /> <br />/ / ., <br />OOHPMfi C,/l/\ct {(~ ~ ~/ <br /> <br />State Cert. or Regist. iF <br />City I,icense Regis(xation t1 <br />t*t**..**.****t.*****.tt**t*t*******~**~** <br /> <br />! '-) , , <br /> <br />if' tux!;) ~ <br />/;). $" <br /> <br />MP.'ClIANICAL CO'!fPMY f0~A./< 4~ C~ i., J <br />State Cer!:. or Rcg~L # <<t!/ ~ '//.;(.. <br />Signature City License Registration tl 7 ( <br />*.*.*****tt*..*.**********************~ <br /> <br /> <br />OTIIY.R COHPMY <br />State Cert. or Regist. ;# <br />Signat:ure Cit:y License Registration * <br />t*****..**..*.***.*****t***********~~***** <br /> <br />APPLICATION APPRO\.-"E'D BY PE&~IT OFFICER. <br />