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<br />APPLICAnOIll fOR PERIIlY <br />CITY OF ZEnlIICH IT.LCO <br />.BUI.I.DIliG DEPARllllflfJ' <br /> <br />OWIIER. · S RAIlE <br /> <br />,l/L Pr;{j~ct <br /> <br />5"'/Oh '1 TI-I <br />S';M~ <br /> <br />PIIOlIE <br /> <br />7~~.73~~ <br /> <br />0WlIER. · S ADDRESS <br /> <br />sr <br /> <br />2-EP II y It H fL-L.S <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPI'IOII: LOI'(S) I? <? 20 <br /> <br />BLOaC: <br /> <br />SOBDIVISIOR <br /> <br />PARCEL 1. D. t <br />WRK PROPOSED:_lIev Construction ~tion /Alt.eration _Repair _Inst:al.l <br /> <br />S. <br />- 19D. <br /> <br />_Move <br /> <br />_ne.olish <br /> <br />PROPOSED USE: <br /> <br />V'single F~ily <br /> <br />_"'F <br /> <br />_, of Units <br /> <br />_"/H <br /> <br />_~rcia1 <br /> <br />_Indust.. <br /> <br />_Stn... Pool. <br /> <br />Other <br /> <br />__estaurant 5: Health ~t Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height. <br /> <br />RESIDENTIAL: <br />cottIIERCIAL : <br /> <br />AtTACH (2) PUJI' PUUlS 5: (2) SEIS OF BUIIJllBG PUUlS 5: (1) SEt' ENERGY FORtIS..... <br />ATtACH (3) SEI'S OF BUIlDIlIIG P1MS 5: (1) SEt' EIIERGY FORKS..... <br />""mpy OF mll'I'KACI' 1UlQmlIED. <br /> <br />PERIPII'IS KEOUltcoYED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Ya1uation of Total Construct.ion <br /> <br />_ELECl'RICAL <br /> <br />NIP Service <br /> <br />Florida Power Corp. <br /> <br />V.R.E.C. <br /> <br />--1tECllANICAL <br /> <br />$ <br /> <br />Va1uat.ion of KeclJanica1 Installation <br /> <br />_PLUKBING GAS ROOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF mNSTRUCTIOR: ----..Block. _Fra.e _Steel <br /> <br />Other <br /> <br />FInSHED FLOOR ELEVATIOIIS: <br /> <br />n. <br /> <br />IS P.RO.JEcr IN FLOOD zon AREA! <br /> <br />YES NO <br /> <br />.................................................................................... <br /> <br />aHI'I'.RACIUR SECJ'I.ON <br /> <br />BUTT JlEB. <br /> <br />Signature <br /> <br />tit <br /> <br />WllPAIIY <br />/J~ - Stat.e Cert. or Regist. t <br />J ';;' ~ ~ City License Regist:rat.ion I <br />.... .......................................................................... <br /> <br />COII.PAIIY "r;ukAll. () C/<.fW';(JAj.L- FLEcl"&/r'.</t.L C (J}JrkA-c1Ot<' <br />1 0 _ _ State Cert.. or Regist. t Fi~ (j 0/2 <j /0 <br />~ ?e-I-~ City License Regist:rat.ion I .2 ~ 0 <br />.......................... ........................................................ <br /> <br />S. <br /> <br /> <br />PLOIBER <br /> <br />(DfpAIIY C <br />d~x ~ Stare Cen. or _ist. . <br />. . City License Regist.ration t <br />.................................................................................. <br /> <br /> <br />Signature <br /> <br />IIEaIAlIICAL <br /> <br />(DfpAIIY <br />State Cert.. or Regist. I <br />City License Regist:rat.ion I <br />.............................................................................. <br /> <br />Signature <br /> <br />O'TIIRR aJIIPAIIY <br />Stat:e Cert:. or Regist. t <br />Signature City License Regist:rat:ion t <br />................................................................................. <br /> <br />APPLICAnllll APPIIOVIlIl BY /11.1 AM"~ ~ -" /u}>"'I= I'IlIlInT OFFICER. <br />