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<br />APFL.lCATIOINI fUR FmmlT <br />CITY OF ZEmJRHIL1S <br />BUIIJ) HIG DEFARlllll'BJ' <br /> <br />I <br />OMNER'S NAnE LY;tl)/ ..}- /o//I,{sll.19 0 CO,{/AJc~~. <br /> <br />OWNER'S ADDRIl'SS 5-/0? ;f/ /l Y/ t? ,e. <br />, <br /> <br />g zjj 57 <br /> <br />.moNE <br /> <br />712.. - 0 '3'7 C <br /> <br />,JOB ADDRESS 5""230 <br /> <br />~ 1//1/6 2<tEjJ/I!/,#;j.t::-5 <br />I <br /> <br />;2C/Yf//I!I; )..?f /2_ <br /> <br />LE{,~L DHSCRIPI'IOIII: Wf(S) <br /> <br />BI~SUBDIVISIOR <br /> <br />PARCEL I.)).' <br /> <br />WORIt PROPOSED:_lIew Construction --.J'\ddilion _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_))e.oHsh <br /> <br />-.L <br /> <br />f(~ f!De4'1JC--. <br /> <br />PROPOSED USE: <br /> <br />'X Single Fallily <br />, <br /> <br />_"'f <br /> <br />_, of Units <br /> <br />_"'n <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swu.. Pool <br /> <br />Other <br /> <br />_Restaurant 5: Health Depart.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~are Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cottItERCIAL : <br /> <br />A1TACH (2) PLOI' PLARS 5: (2) SEIS OF BUlIDUIG PLAJlS 5: (1) SRI' ENERGY FORtIS,'" <br />ATTACH (3) SEIS OF BUILDING PLUS & (I) SET MItRGI fORItS... <br />....00PY' OF oollIRAcr RIlIIUI,RIID. <br /> <br />LBtHLDING <br /> <br />$ J/ ~ 1 00. (20 <br /> <br />PIlJDIITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELE(''TRICAL <br /> <br />AftP Service <br /> <br />Florida Power Corp. <br /> <br />W,R.E.C. <br /> <br />--"F,('''HANI GAL <br /> <br />$ <br /> <br />_PUJPtBING <br /> <br />GAS <br /> <br />Valuation of ftedmnica.l Installation <br />X, ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE Of CONSTRUCTION: _Block _Fr~ _Steel <br /> <br />Other <br /> <br />FINISRED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREAl <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />aJlIIfBAClUR SECI'IOB <br /> <br />BUIlDER <br /> <br />CUlPAJllr <br />State Cert. or Regist. , <br />Ci~License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />ELECfRlClAB <br /> <br />CUllPARY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Simaature <br /> <br />PLlIIBER <br /> <br />(DIPAllf <br />State Cert. or Regist. t <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />fIEC8AIIlGAI. <br /> <br />CUlPAIII' <br />State Cert. or Regist. f <br />Clt.y License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTDRR <br /> <br />CUlPAIll' rY/tr//,-V /ltJtJh;V? . <br />tJ,Y . L t!/>A '. _ State Cert. or Regist.' RcoOI/UW <br />~ /VV~ City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERftlT OFFICER. <br />