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<br />, APPL,ICATI05 fOK PERKlT <br />CITY OF ZEP8TRHIL~S <br />BUILDING DEPARlttHXT <br /> <br />OWNER"S NAME <br /> <br />ftert] <br /> <br />J !IdA <br /> <br />;;/2~ <br /> <br />f'IIOlNIE (513" ;73' 3 <;):3 I Y <br /> <br />OWNER"S ADDRESS <br /> <br />.JOB ADDRESS (; 33 7 .<f-du,,- tJd/r:d <br /> <br />LEGAL DESCRIPTION: Wr(S) <br />. 4 () <br />PARCEL 1.0.1 ,,,{Dr / Ie) J/ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />'- r)/}i:~ J~/~ -/t(?lJ~//(d-6dt1 (;: t;'6 - '1;1 <br /> <br />WOJUC PROPOSED: L/--~ev Construction ---^ddition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />~ve <br /> <br />_D~lish <br /> <br />PROPOSED USE: <br /> <br />~ngle Fa.By <br /> <br />_"IF <br /> <br />_' of Units <br /> <br />_"/0 <br /> <br />_<=<-ercial <br /> <br />_Indust:. <br /> <br />_Swi..PooI <br /> <br />Other <br /> <br />_Restaurant & Health DepartlM!'ftt Approval <br />1/1 <br />BUILDING SIZE: X ~'66D rd/?, Square Feet. <br /> <br />" <br /> <br />~,; <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cotmERCIAL : <br /> <br />ATTAGB (2) PLOT PLAliS " (2) SEI'S OF BUILDING PL.MiS & (1) SEI' ERERGY FORftS." <br />ATTACH (3) SEI'S OF BUllDlNG PI.MiS " (I) SEI' aRRGY FORKS... <br />..COPT OF CORTRACf KE'QUIRllD. <br /> <br />$ <br /> <br />~, <br />,'>L ~ {/L <br /> <br />PIlmIlTS KEOUESTED <br /> <br />./ BUILDING <br />// <br />~ELECfRICAL, <br /> <br />(' c <br /> <br />;// tIE~'1IANICAL <br />-// <br /> <br />/ PLUMBING <br /> <br />,:JOe) <br />4!, , <br />,::J, see <br /> <br />NIP Service <br /> <br />Val.uation of Total Construction <br /> <br />~orida Power Corp. <br /> <br />W.R.E.C. <br /> <br />c' <br /> <br />$ <br /> <br />ValU8t ion of Kechanica,l Installation <br /> <br />GAS <br />/" <br />TYPE OF OONSTRUCI'I01'lll: /Block ~raBe <br />_"';,- fl~i. <br />FIINIISJlED FLOOR ELEYATI01'IlIS: YJ' FI'. <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_SLeel <br /> <br />Other <br /> <br />/ <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />NO <br /> <br />............................................ <br /> <br />BUILDER <br /> <br />JlLflrK-c <br /> <br />aJ5IRACIOR SECI'ION <br /> <br />W!tPANY ,&~ <br />State Cert. or Regist. , <br />(;ity License Registration , <br />.................................................. <br /> <br />Signature <br /> <br />38~ <br /> <br />ELECTRICIAN , ~ mtIIPMIY V~7ti~ fir/drh <br />// i /'"'/1/" ,L / ) State Cert:. or Regist:. 1 <br />Sitmature. I~'//i l////r;:r7/f1 V City Ucense Registra1:ion 1 ~ / <br />....,....................................... <br /> <br />PWKBER <br /> <br /> <br />,-",1 / ~ . /1/~' ',.: <br /> <br />COPIPMY J.~J:rl u:.-:tz:: )'?~--f-.V1 '~--f <br />, ate Cert:. or Regist. , ( <br />1ty License RegistraLion t )?/ <br />............................ r <br /> <br />A OOJIPMiY >0 ~/l/V S <br /> <br />~ /) State Cert:. or Regist:. , <br />/yt / ~ ~ Cit.y License Registration , :;J- <br />'................................................ <br /> <br />Signature <br /> <br />flRCIIAlUCAL <br /> <br />Signature <br /> <br />.,' <br /> <br />OTHER ~~~ DftPANJ <br />t, - l <br />/ State Cert:. or Regist. 1 <br />Si-:;::t~ 15? <:: City License Registration , <br />.................................................... <br /> <br />APPLICATION APPROVll'D BY <br /> <br />II .4 t/)Al"'vlT <br />4 <br /> <br />PERllIT OFFICER. <br />