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<br />APPL1CAnOIil FOR PERKIT <br />CItY OF ZEPIIYRIIILLS <br />BUII.DDiG DEPARIIIE'.IfI' <br /> <br />OWIJER'S RAIlE SUf\ BC4t'\ k of Pr;.sc C1 (0- <br />OWJIER'S ADDRESS Pr () ~ t3o~ I Sf. !bf'Gok',,;IIe. FZ_ <br />JOB ADDRESS 675-S- &G.. \ \ 50\.\ I evc....,J. Z. l-4. \lS <br />LEGAL DESCRIPl'IOII: wr(S) <br /> <br />PIIOIIE Qo4 - "7,5-if- SS"'I-l <br />'3 '16 os- <br /> <br />~SOBDIVlS1OB <br /> <br />PARCEL 1.D.' :JI.."-2i- 03 -OOlO- 0'32."0 -DOle> <br /> <br />.- <br /> <br />IiOKK PItOPOSPJ):_IJev Construction ~tion _Alteration -----RePair X-Install <br /> <br />_Sign <br /> <br />_Rove <br /> <br />~lish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />----141 F <br /> <br />_' of Unit:s <br /> <br />----14/H <br /> <br />---X.-ec-ercial <br /> <br />_Indust. <br /> <br />_Stria. Pool <br /> <br />Other <br /> <br />"Rpstaurant & Health Depan:.ent Approval <br /> <br />BUILDUG SIZE: <br /> <br />x <br /> <br />~e Feet, '000 <br /> <br />Height <br /> <br />RESIDEI!1TIAL : <br />COItItERCIAL : <br /> <br />AtTAaI (2) PLOI' PlAIIS &: (2) SEI'S OF BUD.DIBG PLAIIS 6: (1) SKI' EllERGY FORMS. ** <br />AtTAaI (3) SETS OF BUD.DIIfG PUUilS &: (1) SKI' EIIERGY FOBIIS.** <br />**oon OF OOIlTRACf :KIlQUIRIlD. <br /> <br />PERKITS REOUESTED <br /> <br />-2SJUD.DDfG <br /> <br />$ 4r;~-OJ 0 () <br /> <br />Valuation of Tot:a.l Construction <br /> <br />~CAL <br />-1IEQWfICAL <br />---YIJllBDG <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />V.R.E.C. <br /> <br />$ <br /> <br />Valuation of 1lec:banica1 Installation <br /> <br />GAS <br /> <br />>( ROOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OOIlSTRUCl'IOII: ----Block _~ _Steel <br /> <br />Other <br /> <br />FIIIISBED FLOOR ELEVAnOllS: <br /> <br />PT. <br /> <br />IS PRO.JECf III FLOOD ZOJIE AREA! <br /> <br />YES 110 <br /> <br />****************************************** <br /> <br />alfII'RACIOR SECl'IOII <br /> <br />CO!IPAIIY <br />State Cert. or Regist. . <br />City License Registxation . <br />****************************************** <br /> <br />RITTT .DO <br /> <br />Signature <br /> <br />Si ...rullt:ure <br /> <br />CO!IPAIIY <br />St:ate Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />ELEcnuCIAll <br /> <br />CO!IPAlIY <br />St:ate Cert. or Regist. , <br />City License Registxation . <br />****************************************** <br /> <br />PLtIIBER <br /> <br />Signature <br /> <br />CDlPANY <br />State Cert. or Regist. . <br />City License RegistxatiOll . <br />****************************************** <br /> <br />MECIIAlIICAL <br /> <br />Signature <br /> <br />nT1IF.R <br /> <br />COIIPAlIY ~~ ~ ~t1G.f,;\) J'tt-c. T j,..., C-u "l-c.. <br />l2.n-__ St:ate Cert. or Regist. . ((. C<O..l'i5.>1 <br />~ ~ City License Registration . (c.. ( n). q ')"<;"" i-JIYf <br />****************************************** <br /> <br />Signature <br /> <br />; ~.4 0' <br /> <br />. .;.;., "". <br /> <br />i. c'~:,:~~~~, <br /> <br />". <br /> <br />..:rE8Ktt OFFtCER..- <br />~t ~', .' . < <br />',. <br /> <br />'. .'" ; .':'"' ,-"~,, <br /> <br />APPLICAnOIl . APPROVED BY <br /> <br />.~' ~.< '", <br /> <br />..'1,"", <br /> <br />,....~.,~"..'-l._';_. .t :'.~~ <br />.' <br />