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<br />APPLICATION fUR PERtlIT <br />CITY OF ZEPHIKHIT.L~ <br />BUII.DlJiG DEPARDItl;aIr <br /> <br />_'S RAKE tJ~ <br />OWlIER'S ADDRIrSS ; 0. &- 5"11 <br />:S7'1ff7 j),?I1. 6jts6. 11 1- PYl. <br />LEGAL DESCRIPl'IOJII: LOI'(S) Ji' r ~SOIIDIVISIOli M!;/-vo.> ~ /7)IJ"-'V/L <br />PARCEL I~D.# / tJ- ~ (p -2/- 0/20 - OOOl)D - O~L./O <br />WORK PROPOSED: ~ Construction _Addition _Alteration _Kepair _Install <br /> <br />PIDIE <br /> <br />7f z - 9JrfO <br /> <br />JOB ADD.RESS <br /> <br />- <br /> <br />S. <br />- 19I1 <br /> <br />_!!love <br /> <br />_ne.o1ish <br /> <br />PROPOSED USE: <br /> <br />~ FaU1y <br /> <br />_II/F <br /> <br />_, of Units <br /> <br />_II/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swa. P001 <br /> <br />Other <br /> <br />_Rest:aurant &: Bea1th Departaent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COItItERCIAL : <br /> <br />A'lTACII (2) I'LOI' PLAIiS &: (2) SEtS OF BUII.DIIIG PIAJIS &: (1) SKI' ERERGY FORIIS....... <br />A'lTACR (3) SEtS OF BUII.DIIIG PIAIIIS &: (1) SKI' ElIERGY FURIIS....... <br />......COpy OF COIITJIACl :RIIQUIRIlD. <br /> <br />.....11..... IS RF.ODF-.";TIW <br /> <br />__mLDING <br /> <br />$ <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AftP Service <br /> <br />F10rida PoIIer Corp. <br /> <br />~.C. <br /> <br />~CAL <br /> <br />$ <br /> <br />Va1uation of Ilecbanica1 Installation <br /> <br />_PLtJKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSnmcn:OR: _B1ock _Fra8e _Stee1 <br /> <br />Other <br /> <br />FIRlSBED FLOOR ELEVATIOIiS: <br /> <br />FI' . <br /> <br />IS PROJECl' IIi FLOOD ZOliE AREA? <br /> <br />YES NO <br /> <br />.............................................................................................................................. <br /> <br />aJWIRACIOK SECI'IOII <br /> <br />~ aJIIPANY lU.A,,uc-Jm-t-1!NrV {JA.JSI. <br />/, )0 State Cert:. or Regist. , <br />Signature t(f~ ~ City License Registration I <br />.............................................................................................................................. <br /> <br />RT_F.CTRICIAN WllPMY ~AnM~~;/ ~ +~_ ~ <br />.00::- L~&ftl} / M f S?-te ~rt:. or R~gist. . # /)0 & 'f'i.S'- <br />S... __'--~ ~ f ~ CJ..ty LJ..cense RegJ..stratJ..on # J-o {. <br />............................................................................................................................ <br /> <br />PUllBER. ~~ IDIPAIIY (L~IA /!J~~ <br />State Cert. or Re st. # <br />Signature ~rr-, City License Registration # ) J r <br />......... .................................................................................................................. <br /> <br />KUTT.DER <br /> <br />Signature <br /> <br /> <br />aJIIPMY ~,u b ..e <br />State Cert. or Regi . # <br />City License Registration # <br />.............................................................................................................................. <br /> <br /><<--. <br /> <br /> <br />IlECRARlCAL <br /> <br />D1'RER <br /> <br />./ y: /111"/' / /) ,,' <br />i3. aJIIPMY f!:::J v,;v I'LOOr- / ~?,. . <br />State Cert. or Regist:. # /Ie...- ooC/6 1..-'1/ <br /><-; ~ . ~ CHy Liceose RegisUaUon . :30 <br />.............................................................................................................................. <br /> <br />Signature <br /> <br />APPLICA1'1OII APl'1llIVIlD BY '?11U1A'(f :>!i./IJA).. r <br /> <br />PERIIIT OFFICER. <br />