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<br />M'PI.U';ATIO~ FOii PER1!UT <br />GITY OF ZEPll'ilmILLS <br />BUlLDIRG DEPARJ1PIE'N!" <br /> <br />OWNER'S NAME 4-A~U.,~PS' <br /> <br />OWNER'S ADDRESS 6'002.3 /V/6 51 <br /> <br />JOB ADDRESS 5,9/11 <? <br /> <br />mom:: <br /> <br />LEGAL DESCRIPl'ImI: I.OI(S) <br /> <br />~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />&;f' #:// ~.b ~II- <br /> <br />, <br /> <br />PARCEL LD.# tJ~-;l..t - oZ J- tJ/~O ~ t/oooo -00::;...0 <br />WORK PROPOSED: ~ev Construction _Addition _Alteration _Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />~ing1e <br />. <br /> <br />Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_KIH <br /> <br />_~rcia1 <br /> <br />_Ibdust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant 5: Bea1th ~t Approva1 <br /> <br />BUILDING SIZE: <br /> <br />~6x~ <br /> <br />Square Feet. <br /> <br />7t:2 9/' <br /> <br />~6 <br />~ Height <br /> <br />RESIDENTIAL : <br />COttKERCIAL : <br /> <br />ATTACH (2) PLOT PLAIlS ti: (2) SETS OF BUIIJ)I5G PLOS 5: (1) SEI' RNERGY FORKS. U <br />ATTACH (3) SETS OF BUllDDi!G PLAIlS 5: (1) SET E5RR.GY FORMS. "'''' <br />"''''COPT OF CONTRACT Rl!QmImD. <br /> <br />I'~TS REQUESTED <br /> <br />/ <br />-LBUILDI'NG <br /> <br />$ <br /> <br />goo <br /> <br />Va1uation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlUCAL <br /> <br />s <br /> <br />Valuation of Hechanical. Installation <br /> <br />_PLUKBING GAS ROOFDiG <br /> <br />SPECIALTY <br />..4' k A\ J ii u J'Y'v Other <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _ __Steel <br /> <br />FHiISIIED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PR..JE':T IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />............................."'.................-.J:........................,..:lt..,:lt-f:............"'..................,..,..,........*'" <br /> <br />BUILDER <br />Signatur* . C. <br /> <br />COIITRACIOR SECl'ION <br /> <br />COfPANY4A ~A_I ~/'1~ <br />~~ State. Cert. or Regist. , _ <br />, City License Registration' :3/ S- <br />................ *.................................,........................,"'...................................,...........:a- <br /> <br />ELECTRICIAN <br /> <br />CUllPANY <br />State Cert. or Regist. , <br />City License Registration I <br />......,.........,.......:a-.....................................................................:lt.......:lt..............:lt....:lt"'.... <br /> <br />SiPT1::1ture <br /> <br />PLOKBER <br /> <br />COIIP.DY <br />Sr-ate Cert. or Regist. , <br />City Lic,'DSe Registration , <br /> <br />Signature <br /> <br />'*':!:~~~:!!:'~-!:'~~~:!:::-:...: "'::':'"1,:':' ..:....::...;. ->> .. .;... ~ .ii.............-... t'il:' =*:'t:* <br /> <br />KECllAlUGAl. <br /> <br />CDlIPANY <br />:itate Cert. or Regist. I <br />City Li~ense Registration I <br />.....,......................................:It......................,....:a-........:lt:lt........................:lt:lt...:lt:lt...:a- <br /> <br />Signature <br /> <br />OTHF.R <br /> <br />cmtPANY <br />State (;ert. or Regi.st. , <br />(;ity l,i.cense Registration , <br />................,...............:It............'''...............:a-:.......*...................,...'''............:a-....:lt........ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />J1 <7--1<-<'1 ..xLUI<flk,"r <br /> <br />PERItIT OFFICER. <br />