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<br />APPLICAnOli fUR PERltIT <br />CI1YOFZEPIIYRIlILLS <br />BUILDlliG DEPAImIEIiIT <br /> <br />OWJIER'S IWtE A G'tU I~ Cd- A/ ~LI N <br />OWNER'S ADDRIrSS .151. L/ ~.-Ih IJt. tI E <br />JOB ADDRFSS (]fJ'Itj ~-7/1 4Vq <br />LEGAL DFSCRIPI'IOIIIl: wr(S) #- BLOCK: <br /> <br />PH)IIE <br /> <br /><!(j- '}gt'-- 0 I !L <br />Jj~t/Q <br />] ?jY{) <br /> <br />ZF IIj( (jr(.tf/L (Y ) pc. <br />I I <br />.71Z /IJ /... Vie III C{ y' I Fe. <br />, / I <br />SOBDIVISIOlI <br /> <br />PARCEL I.D.' / / - :2 Co - ().v ( - () C) /0 -- /7"] 00 - () c / d <br /> <br />- <br /> <br />WORK PROPOSED:_lIIev Construction ~tion _Alteration _Ilepair _Inst:all <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />Single F~ily <br /> <br />_"IF <br /> <br />_' of Unit:s <br /> <br />_M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _S~. Pool <br /> <br />Ot:her <br /> <br />_Rest:anrant & Healt:h Depart:aent Approval <br /> <br />BUlLDIJlG SIZE: <br /> <br />x <br /> <br />~e Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: A'l'TACII (2) PlOT PLMS & (2) SEI'S OF BUllDIJIG PLAIIIS & (1) SEt EllERGY FORMS. ** <br />roItttERCIAL: ATtACH (3) SEI'S OF BUII.DDG PLUiS & (1) SET EIIERGY FORMS....... <br />......oopy OF ooIn"RAcr ~tDlBED. <br /> <br />PERKI'IS RmOESTED <br /> <br />_BUILDING <br />~EuCTRICAL <br />--lfECIIANICAL <br /> <br />$ <br /> <br />Valuation of Tot:a1 Construction <br /> <br />f,')() AIIP Service <br /> <br />v/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of ltecbanica1. Inst:allation <br /> <br />_PUJMBING GAS ROOPDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF mNSTRUC'I'IOII: _Block _~ _Steel <br /> <br />Other <br /> <br />FIWISBED FLOOR ELEVAUOliS: <br /> <br />FI' . <br /> <br />IS PROJEct III FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................................................................................................... <br /> <br />COJn'RACIOR SEC1'IOII <br /> <br />CO!IPANY <br />St:ate Cert. or Regist. . <br />City License Regist:ration . <br />.......................................................................................................................... <br /> <br />RmTDER <br /> <br />Signature <br /> <br />ELECTRIJg-1 ). CO!IPARY ce /J C 2. f'/tJ/tLL <br />j/ / ;/ (1 // /) 7 St:ate Cert. or Regist. . <br />Sitmatur {(?LC~{ /' <( _/ /i.-r~~d City License Regisl:nltion . <br />............................................................................................................................ <br /> <br /> <br />aJIIPAIIY <br />State Cert. or Regist. # <br />City License Registration . <br />.............................................................................................................................. <br /> <br />PI .I1MRF.R <br /> <br />Signature <br /> <br />ml!lPARY <br />St:ate Cert. or Regist. . <br />City License Regist:ration . <br />.............................................................................................................................. <br /> <br />MECIIAlIICAL <br /> <br />" <br />Signature <br /> <br />COIIPAIIY <br />State Cert. or Regist. f <br />City License Regist:ration . <br />............................................................................................................................ <br /> <br />nTIIF.R <br /> <br />Signature <br /> <br />APPLICAnOR L~ffi~i. " ~ <br />1..bI'IQl:o. ~" !,.i*" <br />~:?f:jf $ d'~,~ ~\i"'1'- <br />. . . m_.._.._.. . <br /> <br />,PEJIIlT OFFICER. <br />