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<br />APPLICATIOII FUR PERtI1T <br />CITYOFZEPIID8llLLS <br />BUII.DlliG DEPAKJIul;IfI <br /> <br />OWER'S IWtE r. 'ft so ~ !? ~ j;) f, ~ f (! i L/ /f c /c;. PIIOlIE /' cP J. .- S-J-7 7' <br />OVRER'S ADDRESS.$ ~ ~ d () -:;:--r4. J7J e ;Z -& ,. 4,/~ Ia . . /~, F/. <br />, / / <br /> <br />JOB ADDRESS S i>t~ t~ e- <br /> <br />LEGAL DESCRIPl'IOlI: I.OI'(S) / - I ~ <br /> <br />PARCEL LD.' II - j ~ - j. / - d CJ Ie? - /1:5-&& - (l) c:; / 0 <br />. / <br />WRK PROPOSED:_lIev Construction ~tion _Alteration _:Repair _Install <br /> <br />B~SUBDIVISIOII <br /> <br />,... <br /> <br /> _Sign ~ve _ne.o1ish <br />PROPOSED USE: single Fam1y _"'F _' of Units _K/H <br /> +~rCia1 _Indust. _Swia. P001 Ot:her <br /> <br />~t:aorant &: Bea1th Depar~t Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />mttIIKR.CIAL : <br /> <br />A1TAaI (2) PI.OI' PLAIIS &: (2) SEIS OF BUllDING P.IAIIS . (1) SEI' EllERGY FORKS. ** <br />A1TAaI (3) SEI'S OF BUII.DDIG PUlIS . (1) SEI' .EIIKRGY JlOItIfi... <br />..mn OF ~ct 1UIQUIIIIlD. <br /> <br />PIl'RIITTS RKOIIIlCiTED <br /> <br />_BUILDING <br /> <br />$~.:$ ~.s-~ <br /> <br />va1uation of Tota1 Construction <br /> <br />_ELECTRICAL <br /> <br />NIP Service <br /> <br />F10rida PoIIer Corp. <br /> <br />W.R.E.C. <br /> <br />_ttKmAllICAL <br /> <br />$. <br /> <br />va1uation of Kechanica1 Inst:allation <br /> <br />_PLUKBING GAS ROOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'IOII: _B1ock ~ _Stee1 <br /> <br />Other <br /> <br />FIIiISBED FLOOR. ELEVATIOIiS: <br /> <br />n. <br /> <br />IS PROJEct III FLOOD ZOIIK AREA? ._ <br />YES NO <br /> <br />.......................................... <br /> <br />I'mlDF.R ~ <br />Signature <br />/ <br /> <br />aJIII'KACIOR. SKCl'IOII <br /> <br /><<DIPAJlYJd h ~J ,-. s: 0--> I - ~ k C3 II A/ .0~ <br />~ ~ State Cert. or Regist. f Rf2 ~~ 7~~/ <br />- ..< City License Registration . 6 .s <br />.......................................... <br /> <br />:::12 H'~ OOIIPMY;f:el, A/(? l ;(11;JOlfL( f[kL7/tIC;'LC"g/t./T; <br />t p IL _", State Cert. or Regist. . FI( cVO /.;1. 9/0 <br />S.::IIt: . / 'L-{i-A-C/ . I ~Xd/-f' City License Registration . .2 ~/() <br />.......................................... <br /> <br />PI..IIKRER OOIIPAIIY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />KEaIAliICAL OOIIPAIIY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />01"IIRR <<DIPAIIY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PEJDnT OFFICER. <br />