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<br />- <br /> <br />APPLICATIOlNl FOR PERMIT <br />CI'IY OF ZEPlIYRlIILLS <br />BUIl.DIlNlG DEPARTIDl'.lN1T <br /> <br />OWNER'S NAME f(/UlIJ&J 'J f5GTTV (]/flffEifoN PI10NE 7cf'oZ -/tos-o <br />Jf-L(--,;L/ /../f/E /!fl 2I3~f/;Y/(;ltUS ~//f -335-fL'/ <br />I-/!wl7J1/fJl! /P 2Er:/Ij/~A(4S // /I 33-SYI <br />LEGAL DESCRIPTION: LOT(S) ~ I BLOCK SUBDIVISION f'z/IT YW/t/Cj} /4//#..tJ <br />PARCELLD.' /If-;L(,,-r?-/ tJ)6t/-t7&&OP - &;2/0 <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS 3fo r:2~ <br /> <br />WORK PROPOSED:X-lNi'ev Construction ---.!dJdition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />)( Single Faaily <br /> <br />_KIF <br /> <br />_# of Units <br /> <br />X.M/H <br /> <br />_eo.&ercial <br /> <br />_Indust. <br /> <br />_Swi.. .Pool <br /> <br />Other <br /> <br />_Restaurant Ii llealth Departllent Approval <br /> <br />BUILDING SIZE: ,;2 f X 3/;. , <br /> <br />/1h9/t <br /> <br />Square Feet. <br /> <br />"9 ^r <br /> <br />Height <br /> <br />RESIDEHTIAL: <br />COHtlERCIAL : <br /> <br />ATTACH (2) PLOT PlANs & (2) SEIS OF Bu;rIJ>IlNlG PL.lWS Ii (1) SET ENERGY FORMS. U <br />ATTACH (3) SETS OF BUILDDilG PI.ANS & (1) SET ENERGY FORHS.** <br />:uCOPY OF COllfTRAGl" REQillRlID. <br /> <br />PERKITS REOUP_'iTED <br /> <br />_BUILDING <br /> <br />$ 3/; jmJ. d2/ <br /> <br />Valuation of-Total Construction <br /> <br />_ELECTRICAL <br /> <br />/5>-0 <br /> <br />AKP Service <br /> <br />)( Florida Power COrp. <br />-- <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ I 'j-zn:;. QJ) <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />rYPE OF CONSTRUCTION!: _Block _Pralle _Steel <br /> <br />Other <br /> <br />?"nuSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEGl" IN FLOOD ZONE ARE.."-? - ~ <br />l"'ES NO <br /> <br />*****~*~********************************** <br /> <br /> <br />COHPMUY <br />State Cert. or Regist. , <br />City License Registration <br />****************************************** <br /> <br /> <br />u <br /> <br />lUILDY.R <br /> <br />iignature <br /> <br />)i <br /> <br />aMfPANY f-tfi<Jnlf,() '5.Y5,-E1t( S <br />State Cert. or Regist. I <br />City License Registration f I b ( <br />**************************** <br /> <br />)LlDKBER <br /> <br />, em OOIIPAI<Y i!.J tJ I ~,<JAI~'nIL. <br />, State Cert:. or Regist:. 1# <br />~ ~ .....~..~~..~~~.~~~~:.=:~~:~~~~~: j <br /> <br />~Y. <br />GJh <br /> <br />:ignature <br /> <br />IECHAJiI <br /> <br /> <br />COMPANY ENe/I ~,vA1E.1U'r1ft- <br />State Cert. or Regist. f <br />City License Registration , <br />****************************** <br /> <br />~~- <br />~'T <br /> <br />;ignature <br /> <br />mIER OOlfPANY <br />State Cert. or Regist. m <br />: igna ture City License Registration j <br />****************************************** <br /> <br />,PPLICATION APPRO""" BY '--;1fd4{-<",,",~ 4!lAJM r PI<RIf[T OFFICER. <br />