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<br />APPLICATIOIl fUR PERlUT <br />CITY OF ZEPuIKllIJ.I.S <br />BUlI.DllIG DEPAImUl:IIT <br /> <br />OWNER I S RAIlE <br /> <br />~y , $.#~ d'O/.lI-r1!.- f7-- C/y <br />'/ / <br />?7~~cJ //h../H~r/c) ,?J4~ <br /> <br />PROBE f5l13 -- 783.. 76'7/ . <br />?>Lbp -2 q#t/~#$ ~ .33.:>y;/ <br />, <br /> <br />OIIlIER I S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />:z!!!iY ~ ~/ Z- <br /> <br />M4r/f~-4A"L <br /> <br />j);e. _ <br /> <br />LEGAL DKSCRIPl'IOlI: I.OI'(S) <br /> <br />.2 t/ <br /> <br />I <br />~SU8DIVISIOII S7EP//S 6=L~/ ,;fr S/A,;,,~ tU,.(..5 <br /> <br />PARCEL I.D.' ,q-c:<..6 -02/- ~OOO- 00/00 -0020 <br />,.. <br /> <br />WORK PKOPOSED:-Laev Construction --..JkIdition _Alteration ----..Repair _Inst:a11 <br /> <br />S. <br />- 19I1 <br /> <br />_lIove <br /> <br />_DeIIO.lish <br /> <br />PROPOSED USE: 'I Single F_ily <br /> <br />_II/F <br /> <br />_, of Units <br /> <br />_II/H <br /> <br />_ec-erci81 <br /> <br />_Indust. <br /> <br />_Swi.-. P001 <br /> <br />Other <br /> <br />----..Restaurant 5: Hea1th Deparbent Approv81 <br /> <br />BUILDING SIZE: 53 t/ X rS 0 , <br /> <br />0<12~ <br /> <br />~ Feet, <br /> <br />/~/ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />aJttIIKRCIAL : <br /> <br />AlTAm (2) PLOI' PIARS 5: (2) SEI'S OF BUILDING PIARS 5: (1) SET ElIERGY FOlUIS... <br />ADAm (3) SEI'S OF BUILDIlIG PUUIS 5: (1) SKI' ElIERGY FOlUIS... <br />..00l'Y OF oollTRACl .RIIQUUUlD. <br /> <br />PRRIII'IS RIlOIIR.C;;TlID <br /> <br />.-d::...-BUILDIRG <br /> <br />$ <br /> <br />85"'~~ ~ <br /> <br />./ <br /> <br />V81uation of Tota1 Construction <br /> <br />X F.I.P.GTRICAL <br /> <br />/6U AIIP Service <br /> <br />^ F10rida PoIIer Corp. <br /> <br />W.R.E.C. <br /> <br />~CllARICAL <br /> <br />$. <br /> <br />" <br />~t!Joo ~ <br /> <br />Valuation of Kecbanical Installation <br /> <br />~PLUK8IRG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF ooNSTRUCTIOR: --4J11ock --Yraee _Stee1 <br /> <br />Other <br /> <br />FIIUSHIID FLOOR KLEVATIOIIS: <br /> <br />fT. <br /> <br />IS PRO.JECl III FLOOD ZOBE AREA! -A- <br />YES NO <br /> <br />.......................................... <br /> <br />BUIIJ)D <br /> <br />aJUlIACIUIl SECI'l.ON <br /> <br />alllPMY //v1/V~mA(~k ~^'.s;- AH/J" <br />~p ~~ State eer.. or _.. , /--R<'. C'-;17'<h~ <br />/c . City License Registration' dJ' .39", <br />~....... ................................ <br /> <br />Signature <br /> <br />KI.KCIlUCIAR <br /> <br />S1 DIU-tare <br /> <br />w <br /> <br />lDIPAIIY ~ kRvC-/<:: <br />.\ ~ State Cert. or Regist. , <br />\ u 011. City License Registration , <br />- ......................................... <br /> <br />~c.7: <br />~t./ 6Z <br /> <br />PUIMBER. <br /> <br />~ OOlIPMY d~~A /!<v~.,,-, 7- <br />, ./ '-/ .... State Cert. or Regist. t ' <br />~&,\,~ ". .J City License Registration' Pi / ~ :/ <br />.... .................................... <br /> <br />"pK/ <br /> <br />Signal:ure <br /> <br />IlECWUll.CAL <br /> <br />Si_<ure jll~ td <br />0T1I~"? ~ . <br /> <br />Signal:ure <br /> <br /> <br />OOlIPMY 0/)(,)/> 4;; <br />~ ~ Sta<e Cert. or J!egisl:.' ~A dO~S- <br />''? City License Registration t ./ () 7 <br />... .... ................................ <br /> <br />OOIIPMY ,IJ- / P&or//vo - <br />State Cerl:. or Regist. t / c:. 0 7 ZI!J.'f" <br />City License Registration t -#- ,d,t:1 <br />.......................................... <br /> <br /> <br />APPLICAnOB APPROVED BY <br /> <br />PERKI.T OFFICER. <br />