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<br />APPLICATIOJtij FOR PERtlIT <br />CITY OF ZEPIIYRlTlLLS <br />BlITILDUiG DEPARUIE,NT <br /> <br />f- Iv W()l\-J J IV <br />Vf.~..,v 6(~^^...., C f c: '"'" 4 <br />JOB ADDRESS ~HJ 5 73 LJ) W (-~Jt-\...J;:'u ~ 1),,,-. <br />LEGAL DESCRIPTION: WT(S)' 70 <br />PARCEL 1.0.# /0 -7 ~-:-~ 2/- <br /> <br /> <br />PllO!NIE <br /> <br />OWNER · S NAKE <br /> <br />OWNER · S <br /> <br /> <br />SUBDIVISION W!- J j I-....J 0,) ~ JfJ.~1\J U'- <br />o /2 o~- 00 QuO.. 0700 <br /> <br />BLOCK <br /> <br />h"URK PROPOSED:_~ Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Oeaolish <br /> <br />PROPOSED USE: <br /> <br />l ~le F3IIIily <br /> <br />_"IF <br /> <br />_' of Units <br /> <br />_'H/H <br /> <br />_CoIIIlIercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Oepartaent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t: , <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHMERCIAL : <br /> <br />ATTACH (2) PI.or PLAHS & (2) SEIS OF BUILDING PI.A!NIS &. (1) SF.T ENERGY FORMS. ** <br />ATTACII (3) SE.TS OF BUILDllDG PLANS & (1) SET ENERGY FORMS. 'U <br />~~COPY OF CONTRACT REQUJlllUID. <br /> <br />PRRmTS REQUP~'iTE() <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuat.ion of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Prn.-c r COrp. <br /> <br />I.-1G..E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Valuat.ion of Mechanical Installation <br /> <br />_PUJMRING <br /> <br />GAS <br /> <br />ROOFrNG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Pralle _St.eel <br /> <br />Other <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />FINISTIED FLOOR EI..EVATIm~S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE A~\? <br /> <br />***************************~*******~****** <br /> <br />RUILDER <br /> <br /> <br />COIln"RACTOR SECTION <br />cnHPAOOY tJ. ,tJ M-t/-?1a9 d;t./ (;;1./5), he, <br />Sl:ate CerL or RcgisL 411 OC) ZiJf'l',/ <br />City Licen Registration;#: '-I <br />, <br />************************* *****e.*****~ <br /> <br /> <br />~ <br /> <br />Signature <br /> <br /> <br />COlIP^,-"W <br />State Cerl:. or RegisL 4# <br />City l.icense Registration I <br />**********t******************~*****~*****. <br /> <br />PUllMRER <br /> <br />(---"\ <br />\; ) OOHPAHY <br />~~"'\/"-~~ ~/t/ O~ ~~e L,~~~~~e o~e:~;~:ation <br /> <br />***********************************~~*~*** <br /> <br /> <br />rl I / <br />(/~ br1 <br />4f --LI;:).. .5" <br /> <br />Signature <br /> <br />HEClTMfICAL <br /> <br /> <br />a>>IPANY ;1> ~ <; ? <br />Stat.e Cert:. or Regis . if <br />City License Registrat.ion <br />**********************************e***~ <br /> <br />c ~j'~~ f <br />O~ -Y; ,2 <br />i 7/ '- <br />, <br /> <br />Signature <br /> <br />0TlIY.R OOHPANY <br /> <br />State Gert:. or Re~ist. 4# <br />Signature Cit:y License Regisl:ration lit <br />****************************************** <br /> <br />APPI.I("'..ATION APPRo\\Y,D RY PF.:RJ.~T OFFICER. <br />