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<br />APPLICAnOll fOR PERIIl.T <br />CItY OF ZEPIIIRIII.LI.S <br />BUllDllIC DEPARIIIEIIT <br /> <br />OWNER'S IWIE t}1/V- If <br /> <br />};JcCr!)~,q~ <br />, <br /> <br />PIIOlIE <br /> <br />OWNER'S ADDRESS <br />JOB ADDRESS ). c- r S' 2. S I <br /> <br />LEGAL DESCRIPl'IOII: Wr(S) <br /> <br />s~~ 1,",q. sl <br />.IlLOCIL-.SUBDIVISIOR S4 "J.., I? <5 7 <br /> <br />PARCEL LO.' 10 -.A ~ - AI 6010 rL CJ 1"1....~.:J ..... (<f--.J <br />.... <br /> <br />WORK PROPOSED:_lIev Consl:rucl:ion --.JLddil:ion _All:eral:ion vJt'epair _Iost:all <br /> <br />S' <br />- 19I1 <br /> <br />_lIove <br /> <br />_De.olish <br /> <br />PROPOSED USE: <br /> <br />~ing1e F8Ilily <br /> <br />--1t/F <br /> <br />_, of Uni.1:s <br /> <br />~/B <br /> <br />_~rciaL <br /> <br />_I.OOusI:. <br /> <br />~wia. Pool <br /> <br />Ot:her <br /> <br />~t:auran.1: & Hea1t:h Deparbenl: ApprovaL <br /> <br />BUILDING SIZE: /1 X '-j '/ , <br /> <br />~e Feel:, S?, 'I <br /> <br />Heighl: <br /> <br />RESIDERTIAL: A'lTAm (2) PI.OI' PLAlIS &: (2) SEI'S OF BIJI.U)DfG PLAlIS &: (1) SEt' EIIERGY fOlUIS... <br />COHItERCIAL: A'lTAm (3) SEI'S OF BUIIJUJI/G PLANS &: (I) SEt' MERCY fORKS... <br />..OOPY OF OOIlTRAGr .RIIQU1.RIlD. <br /> <br />~UILDING <br />/ELEcnuCAL <br /> <br />PIlJUIllS KEOUESTED <br /> <br />$ <br /> <br />VaLual:ion of Tot:.al Consl:rucl:ion <br /> <br />AIIP Service <br /> <br />Florida Puller Corp. <br /> <br />W.R.E.C. <br /> <br />---1tECllARICAL <br />~UKBING <br /> <br />$ <br /> <br />VaLual:ion of IlecbanicaL Inst:allal:ion <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF mNSTRUCI'IOII: -..Block ---Y'r.-e _Sl:eel <br /> <br />Other <br /> <br />FIIIISHED FLOOR ELEVAnOllS: <br /> <br />n. <br /> <br />IS PROJEGr 1R FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />~CIOR SECTION <br /> <br />=.eMY~~ :n <br /> <br />CJ 'i,.( /fv ~ ~ :J:ity License Regfst:.ral:ioo. f <br />........ ............................... <br /> <br />R::::CIAR~'/ . LL WflPARY j'oJ-?l~JJ E )E~~t <br />Stal:e Cerl:. or Reg1sl:. . <br />S e City License Regisl:ral:ion . < ~ fr <br />. ....................................... <br /> <br />PUllBER > OOIIPAlIY ~ Oo~ J 4 IV E IE ~ <br />Stal:e Cerl:. or Regisl:. I <br />ity License RegiSl:ral:ioo. . <br />...................................... <br /> <br />BUHJ)RR <br /> <br /> <br />1/5, <br />77 <br /> <br />Signal:ure <br /> <br />Signal:ure <br /> <br /> <br />3'/ <br />, <br /> <br />tutalARICAL <br />Signal:ure _N 0 R I C.- <br />, <br /> <br />OOIIPAlIY <br />Stal:e Cerl:. or RegiSI:. t <br />Cil:y License RegiSl:ral:ion f <br />.......................................... <br /> <br />---- <br /> <br />O'T1IRR <br /> <br />COfIPARY <br />Stal:e Cerl:. or Regisl:. . <br />City License Regisl:ral:ion . <br />.........................................., <br /> <br />7! cl11kQWI ~/urw--: PmIlT OPFICIlR. <br /> <br />Signal:ure <br /> <br />APPLICAnON APPROVED BY <br />