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<br />APPLlCAl'IOWi FOR 1"100I11' <br />CITY o.f' ZEPII1KIII US <br />BtHtDHiG DEPARJtlENT <br /> <br />OWNER "S NAltE <br /> <br />fj~~~ <br />9r <br /> <br />moNE .?t;2 - ~S r 6' <br /> <br />OWNER"S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: 1Ol(S) <br /> <br />RW(..'1{ <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D . , <br /> <br />O;;L <br /> <br />dl-- G ~ <br /> <br />67>8(5 <br /> <br />tfJ ;Lr:;{j <br /> <br />c7{)(O <br /> <br />WORK PRo.I'OSED:_lNIev Construction ---^ddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_lPIove <br /> <br />_DeIIOIish <br /> <br />PRo.POSED USE: <br /> <br />Single Fa.iIy <br /> <br />_"'f' <br /> <br />_' of lIfnits <br /> <br />--"IH <br /> <br />_~rciaI <br /> <br />_Indust. <br /> <br />_Swu.. 1"001 <br /> <br />0. the r <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant 5- BeaIth DepartlleO.t Approval <br /> <br />Ir2x IlS , f RL Hf-B ;;711tj <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />c:otVtERClAL : <br /> <br />ATTACH (2) .PLOI' PLAIIS 5- (2) SEIS Of' BUllDING PI..A!lS 6: (1) SEI' ENERGY Fo.RtIS. u <br />ATTACH (3) SEIS OF BUII.DllIG PLANS 6: (1) SEI' miERGY FORKS. ** <br />**roPY OF rollfl'RACT RII:QlIflRllD. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />(~3(,(lJ <br /> <br />PERKlTS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_EI.ECTRlCAL <br /> <br />MIP Service <br /> <br />f'lorida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />_HEt.'1IANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLmtBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE o.F CONSTRUCl'IOIli: _Block _Fr3lle _SteeI <br /> <br />0. the r <br /> <br />f'INISRED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO. <br /> <br />****************************************** <br /> <br />BUllDER <br /> <br />wrnKACIOR SECTION <br /> <br />~ fDtPANY SOJ../~ Jlc-r;f(c~dlf <br />4r~ State Cert. or Regist. , <br />l_ ~ I City License Registration , 7 T <br />***************************************** ' <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />CUIPIPANY <br />State Cert:. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />SiPnatU1e <br /> <br />PLUllBER <br /> <br />fDtPAIU <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />KEClWUCAL <br /> <br />Wl!IPAn <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />011IF.R <br /> <br />cortPMiY <br />State Cert. or Regist:. , <br />City License Registration , <br />***************************************~** <br /> <br />Signature <br /> <br />APPLICATION APPROVIfD BY <br /> <br />PERKlT o.FFICER. <br />