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<br />/-/o-?y <br /> <br />APPLlCAnOll fOR PERllIT <br />CITY OF ZEPIIYRIlILLS <br />BUII.DllIG DEPARIIIIlXI' <br /> <br />OWRER'S IWtE ~a.. V\ J .~() N\4-0 <br />OWRER'S ADDRESS SIO b q tS S-\~ <br /> <br />78"> a I S u <br />PIIOIIE - '(., . I .,.. <br /> <br />7 h"\l, <br />L_ "...... <br /> <br />JOB ADDRESS <br /> <br />,S 1-\ rl\ e..... <br /> <br />LEGAL DESCRIPl'IOII: I.OI'(S) \"~, \4, ~ (~ AUla( 5-5'"- SUBDIVISIOR (:1' 'lOP 2-k.1I s: <br />PARCEL LD.' f ( 2 ~ 2 'OC f ooSSOOo ; '3 t) <br />- <br /> <br />WRIt. PROPOSED:+-.lIew Consl:rucl:ion ~I:ion _All:eral:ion _____epair _Install <br /> <br />S' <br />- 19I1 <br /> <br />_Move <br /> <br />_Oe.olish <br /> <br />PROPOSED USE: <br /> <br />Single F_ily <br /> <br />_"'F <br /> <br />_' of Ifnit::s <br /> <br />_"/B <br />f.?A fZ.A <0 f=- Other <br /> <br />_~rcial <br /> <br />_Indusl:. <br /> <br />_Swi..-. Pool <br /> <br />RpStauranl: & Hea1th Deparment Approval <br />( / <br />Z 'z -TJ <br />X I' ,-. , <br /> <br />484 <br /> <br />~e Feet, <br /> <br />8' <br /> <br />Height <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: ATrAaI (2) PLOT PLAIIS & (2) SEI'S OF BUIIJ)IlfG PLAIIS & (1) SEI' ERERCY fORKS... <br />cotItIERCIAL: ATrAaI (3) SEI'S OF AUD.D.IIIG PLAIIS & (1) SKI' ERERGY fORIIS... <br />..COPr OF COllIKAcr RllQUI.RIlD. <br /> <br />PJr.RJIITS REQUESTED <br /> <br />bUILDING <br /> <br />$ <br /> <br />'240 <br />I 0 <br /> <br />Valual:ion of Total Construcl:ion <br /> <br />F.1.F.Cl1UCAL <br /> <br />NIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1tECllANICAL <br /> <br />s <br /> <br />Valual:ion of lIechanica1 Installation <br /> <br />_PLuttBING GAS ROOFING <br />TYPE OF OONSmUC'l'IOII: -block. ~~ _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnOllS: <br /> <br />FI'. <br /> <br />IS PROJEcr IN FLOOD :milE AREA'! K <br />YES NO <br /> <br />.......................................... <br /> <br />BUII.Dn <br /> <br />aJJIDIACIUR SECl'I.OII <br /> <br />CDlPAIIIY Ow tJ -Q., r <br />State Cert. or Regist. , <br />City License Registratioo. t <br />.......................................... <br /> <br />()~ <br />Signature (::r),A~ ct::.-------- <br /> <br />F.I.RCTRT 1:1 AN CUlPAIIY <br />State Cerl:. or Regisl:. , <br />Si....Al:ure City License Registration , <br />.......................................... <br /> <br />PIDlBER. aJIIPAIIY <br />Stal:e Cerl:. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />IlEalAllICAL aJIIPAIIIY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />O'T1IRR aJIIPAIIY <br />Stat.e Cert.. or Regist.. . <br />Signature City License Registral:ion , <br />.......................................... <br /> <br />APPLICAnOIl APPIlOVED BY PERllIT OFFICER. <br />