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<br />APPLICATIOIil FOR PEmtIT <br />CITY OF ZEPllYRllILI.S <br />B1JJII.DDiG DEPA'RDIEIn' <br /> <br />OWNER · S RAKE <br /> <br />!Znctuw ~. t;,6~, <br /> <br />moNE 6'/~ --7 B 2,.- 2:z.. 7'- <br /> <br />OWNER' S ADDRESS ,3771 () AI~ /)I!., ~r4.A't"-s" h:./'J- <br />~E.- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'ImI: I.OI'(S) <br /> <br />BLOCK <br /> <br />SUBDIVISIOIil <br /> <br />PARCEL I. D. f <br /> <br />LJa - .;u. -dll- Pia,,, - Pi>Od:1D - Pi3t:'.O <br /> <br />WORK PROPOSED: * lIev Construction .--..Addition _Alteration _Repair _Install <br /> <br /> _Sign _lItove _Deaolish <br />PROPOSED USE: Single Faaily _KIF _' of Units <br /> _<=<-ercial _Indust. _Swill. Pool <br /> _Restaurant &: Hea1th nepan:.en.t Approval <br />BUILDING SIZE: Z8 x39 /~9~ Square Feet, <br /> <br />A-.K/H <br /> <br />Other <br /> <br />RESIDERTIAL : <br />cottKKRCIAL : <br /> <br />I .:s~7 Height <br /> <br />An"ACII (2) PI.OI' PI.AlIS &: (2) SEI'S OF BUILDING PLARS &: (1) SET ERERGY FORKS. U <br />ATI'ACII (3) SEI'S OF BUilDING PLARS &: (1) SET ENERGY FORHS.** <br />**COPY' OF CONTRACT ~lDIRED. <br /> <br />-* BUILDING <br />-E ELECTRICAL <br />*KECllARICAL <br />~ PLUKBIRG <br /> <br />$ <br /> <br />PF..RKfTS REOOESTED <br />). " g tJb - Valuation of Total Construction <br />I So AfIP Service Florida Power Corp. ~ <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />I loo -- <br /> <br />Valuation of Mechanical. Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />- /1111. <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Pralle _. _Steel <br /> <br />Other <br /> <br />FIIfISHED FLOOR ELEVATIONS: ,vAt- FI'. <br />. <br /> <br />IS PROJECT Df FLOOD ZOIiE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COIO'RACIOR SECTION <br /> <br />BUILDER <br />Signature ~ <br /> <br />~ lDIPANY AI, te IAJ1ZJ1:Oi7lr /11o/!/tC _~ <br />State Cert. or Regist. , <br />U ..- City License Registration , ..35(;, <br />****************************************** <br /> <br />::tAJ'- <br /> <br />ELECTRICIAN' OOIIPANY ~ · IJ-. ~""'-- t::f.~. <br />: tF ~ 7J. if State Cert. 0 egist. I <br />SiPn=- ure e ~ c4- ~r City License Registration I as: <br />** *************************************** <br /> <br />PLOtIBER ~ OOIIPANY IJFisLJJJ '/?'Af.~ <br />'-'l.. \ State Cert. or Re~t. I <br />Signa<ure /~ ~"'--- Ccity u.c~<e Registration. /O[f <br />, <br />* **************************************** <br /> <br />KECllAHICAL , OOIIPANY ~t)~ P 1J..4>P/tul.. Gc.M <br />:./ n '~ y/J " State Cert. or Regist. I <br />Signature~~ ~ ~ City License Registration I 7'75 <br />********* ******************************* <br /> <br />---A<- <br /> <br />0T1IF.R <br /> <br />Signature <br /> <br />OOIIPARY <br />State Cert. or Regist. I <br />City i.icense Registration , <br />**********~****************************** <br /> <br />APPLICATIOII APl'ROVI!D BY '7'!~ s.4"/Jdl7a.L. <br /> <br />PERKIT OFFICER. <br />