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<br />APPLICATION FOR PEmIIT <br />GI'IY OF ZEPJIYRlIIU..5 <br />BUILDIBG DEPARTHfl'.1fn' <br /> <br />OW'NER'S NAKE /!LJre.v/i6r #E/I~$SY57~h1.r / SaA/PE27 PlIONE <br />/ ,/ <br />OWNER' S ADDRESS 1fA h57 ~5t 0 '?/EP/C/U ec;r/TE-2 <br />JOB ADDRESS 7'/J.:f'D fj.ALt ~A.P / ZEP..AfY.eN/~ ~ Y.7.fj1o <br /> <br />?tW-N// <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />RIncK <br /> <br />SUBDIVISIOINl <br /> <br />PARCEL LD.' <br /> <br />.sEt AJ7A<!..J1€f) <br /> <br />'lURK PROPOSED:--X-!Mev Construction ----'p\ddition _Alteration _Repair ._Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De.-olish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_"IF <br /> <br />_, of Units <br /> <br />_H/H <br /> <br />_Coaaercial <br /> <br />_IOOO5t. <br /> <br />_Swi_. Pool <br /> <br />Other <br /> <br />~estaurant &: Health Deparl:Dent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t. <br /> <br />Heisht <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACJI (2) PLOT PlANS &: (2) SEIS OF BUILDING PJ,AOOS &: (1) SET ENERGY FORHS.u <br />ATTACJI (3) SlITS OF BUILDING PI.ANS &: (1) SET EINlE:RGY FORtiS. U <br />"''''COPY OF CONTRACT RlfQUIRIlD. <br /> <br />PElMITS REOUP.5TED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Plorida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_HECIIANlCA.L <br /> <br />$ <br /> <br />Valuation of Mechanical InstaLlation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />..ROOFI~i\; <br /> <br />~l'r.t;.lAL.Tl <br /> <br />TYPE OF CONSTRUCTION: _Block _Praae _Steel <br /> <br />Other <br /> <br />FlNISIIED FLOOR ELEVAnmDS: <br /> <br />FT. <br /> <br />IS PROJReTIN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />"''''~'''*'''''''''*'''*''''''***'''*'''**'''*''''''*'''''''''*.'''**''''''''''''*''''''''' <br /> <br />nUII.DY.R <br /> <br />CO~CTOR SECTION <br /> <br />~ WHPANY :jf,u d..ff.€ti<7/..... C., -#c <br />~/ State Cert. or Regist.' CQ f!...OJl1 ~~ <br />c; -nru City License Registration # - '3 <br />~-- . .......................................... <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />RI.ECIRICIAN ~ WHPMOY ~--/'.a. ~ ~~. .~ <br />Stat.e Cert. or Regist. i# ~ <taco,,"& ~ 3 <br />SiRllature _ City License Registration f b/.."!:'-3 <br />~.. _ .......................................... <br /> <br />Cl>>IPANY ~.fUr1 J1t tJ /} <br />~ . S<ate Ce~t. o,fRegist. , <br />City License Registration , <br />",,,,,,,,,,,,,,,,,,,i*,,,,,,*,,- .it.~.'il"I!,"'."'''''''**'''.''''''*''''''*'''**-!:'''''''''-!: <br /> <br />QJ/IPMOY J/o /tj,IH }1t(fl~ (MfL <br />State Cerl:. or egist. I <br />City License Registration' / 0 ~ <br />******"'*."'.~+~*."''''''''''**'''''''''''''''**.''''''*-!:'''**~**'''* f <br /> <br />Signature <br /> <br />-~~ <br />/sr <br /> <br />HP.:CllAHICAL <br /> <br />jJ!' <br /> <br />Signature <br /> <br />OTlIER <br /> <br />CO:tIPANI' <br />State Cert. or Regist. I <br />Ci~ License Registration M <br />~*~*"''''.'''**'''''''''''''''''''''**'''*'''~''''''*.'''''''''''''''***''''''''''''''''''''' <br /> <br />Signa ture <br /> <br />APPUCATION APPROVED BY ~ ,4//'lAJ'l-) . <br /> <br />PERHIT OFFICER. <br />