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<br />.. <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYRBIu.s <br />BtlIILDDiG DEPARnIE'BT <br /> <br />OWNER t S NAHE_~ ~ fL ~ I.llkl:1S 6: f.,.. ~(L <br />OWNER t S ADDRESS '~=< 'iI () 5'0 .L. ~t:J 1./"15; A- ..(' <br />JOB ADDRESsn7=If~rJ.i/1 J..,E~pJ)/-1-.r .of(. <br />- <br /> <br />PIIONE '78'02-;u, 7~ <br /> <br />,D.e.... , <br />I1IArt#A~ W/~l)!r PI' P!A~ <br /> <br />LEGAL DESCRIPTION: I.DT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.I <br /> <br />/1/- ;)/:'"7.:2.1... /? IbD .... t!)()O~tJ~ <.1 y~o - L/ ~/O <br />. <br /> <br />IroRK PROPOSED: view Construction ---.J\ddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />t--s ingle F3IIily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Rest:aurant Ii: Health Depar-=-ent Approval <br /> <br />BUILDING SIZE: <br /> <br />/t.( X /J... , <br /> <br />7'12 Square Feet.---.J''' TO ~ ' <br /> <br />Hei~t <br /> <br />RESIDENTIAL: ATTACH (2) PI.DT PI..i\Ns Ii: (2) SEYS OF BUILDING PI:..MS Ii: (1) SET ENERGY FORMS. U <br />COHKERCIAL : ATTACH (3) SETS OF BUILDDiIG PI..ANS Ii: (1) SE.T ENERGY FORMS. ** . <br />**COFY OF CONTRACT RE.QllT.IRIID. <br /> <br />~UILDIHG <br /> <br />PERIIIIYS REQUP..5TED <br /> <br />$ <br /> <br />~ 't J'" 1>. [)tJ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Cbrp. <br /> <br />__W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical. Installation <br /> <br />_PLUMBING GAS ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Pralle _Steel <br /> <br />Other <br /> <br />FIHISIIED FLOOR EI..EVATIOBS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARE..I\.? <br /> <br />YES NO <br /> <br />*****.************************************ <br /> <br />8UILDER <br /> <br />C01'll'RACJOR SECTION <br /> <br />. CO!fPMW /1c;~ ....9~ U~ . <br />/J~_IJ St:ate CerL or RegisL' ac::..O ..J1'6RO <br />.ILf4. Ale--- City License Registration' /J,O <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />CO!tPMiY <br />State Cert. or Regist. #. <br />City License Registration f <br />******************~********************** <br /> <br />Sismature <br /> <br />PLUKBER <br /> <br />CO!IPMiY <br />State Cert. or RegisL ., <br />City License Registration , <br />*~**~~.~.~.A~~~~~~~~~~*~~~*~~~~~*~~A~~~~L* <br /> <br />Signa ture <br /> <br />lfECHAHICAL <br /> <br />CO!fF-Alfi <br />St:ate Cert. or Regist. , <br />City License Registration I <br />***************~************************** <br /> <br />:; igna t:ure <br /> <br />}IH~ <br /> <br />COlfPMfY <br />St:ate Cert. or Regist. , <br />City License Registration , <br />.*************.****.*******~*.*.********** <br /> <br />:; ignature <br /> <br />lPPLICATlON APPROVED BY '1/(14tl-c'fr :.,,!JJA.<Tb.; <br /> <br />PERMIT OFFICER. <br />