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<br />APPLICATIOII FOR PERllIT <br />CITY OF ZIl;ruIKH H.Le; <br />BUIl.DllIG DEPARIIIHlO' <br /> <br />OWNER'S IWtE <j{ 0 SsG LL <br /> <br />WI , h Row~ <br />OIIlIER'S ADDRESS g;;( 35 vi N G::l::;LI4 COu1LT) Z EPH- V R H 1LL.S: / FL 3354-( <br />JOB ADDRESS 41 i 0 SILV(~n C-IQCCG ZEPH'IT2 H-ILL~ FL 3::3-~4-( <br />/ / <br /> <br />.BtOCIL-SUBDIVISION C H 14 L PO N"I \/, Lt i4-<::...][. <br /> <br />PB>>IE <br /> <br />7"60 -.78'2-4- <br /> <br />LEGAL DESCRIPl'IOlI: UJI'(S) <br /> <br />PARCEL I.D.' ~ Eco 1Z. 'D <br />.- <br /> <br />PL\4T 8>00/", .3 \ <br /> <br />P~6=l= .., 0 <br /> <br />WORK PROPOSED:~ev Const:ruct:ion _Addit:ion _Alt:erat:ion _Repair _Inst:all <br /> <br />S. <br />- I.gIl <br /> <br />_lIove <br /> <br />_ne.o1ish <br /> <br />PROPOSED USE: ~ing1e FaUly <br /> <br />_II/F <br /> <br />_, of Unit:s <br /> <br />_II/B <br /> <br />_~rcia1 <br /> <br />_Indost:. _Swia. P001 <br /> <br />Ot:her <br /> <br />Il"St:aurant: 5: Hea1t:h ~t: Approval :?\ <br />; ( (' rf'QylCl)€L A-BScx...UT'6:./ <br />BUILDING SIZE: 38-0 x4-3"67. 1703:, ~e Feet:, <br />( <br /> <br />I ((~ -v1 <br />75 0 r. -' Crt-VES: Beight <br /> <br />RESIDENTIAL: A'lTAaI (2) PUJI' PLAIIS 6: (2) SEIS OF BUII.DIIIG PIAIIS 5: (1) SEI' ElllERGY FORIIS..... <br />mtIIIERCIAL: ATrAaI (3) SEIS OF BUllDIIIG PI.AIIS 5: (1) SEI' EI!IER.GY FORtIS... <br />..mpy OF mtn'RACI RIIQUIlUJD. <br /> <br />~ KEOIIR.e;TItD <br /> <br />~UILDING <br />~.RCJ'RICAL <br />~ClWfICAL <br />V PLUKBIRG <br /> <br />$. <br />(CO <br /> <br />Va1uat:ion of Total. Const:ruct:ion <br />AtIP Service 1 ~Orida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$. <br /> <br />Va1uat:ion of lIecbanica1 Inst:a11at:ion <br /> <br />GAS <br /> <br />ROOFIIIG <br /> <br />SPECIALTY <br /> <br />TYPE OF OORSTRUCl'IOII: ~odt <br />FIlIISBED FLOOR ELEVATIONS: '7( fT . <br /> <br />_F'ra8e _St:ee1 <br /> <br />Ot:her <br /> <br />YES <br /> <br />d <br />NO <br /> <br />IS PRO.JECI' IIi FLOOD ZOIIE AREA? <br /> <br />.......................................... <br /> <br />BmI.DER <br /> <br />~ on, 0~ <br /> <br />~CIOR SECl'IOR <br /> <br />aJIIPARY q USSE LL {Y1, 13 {(OW ~ <br />St:at:e Cert:. or Regist:.' e... 6::. Co '< (., ( <br />Cit:.y License Regist:rat:ion' Q LF'!:. <br />.......................................... <br /> <br />Signat:ure <br /> <br />:~.-=F~:~ ~. 011. 0~ CDIIPAIIY 9.u SSE LL M \ 2fLOwA-( <br />. Stat:e Cert:. or Regist:.' JZ12 DC) 055 J <br />Cit:.y License Regist:rat:ion' I b ;3 <br />.......................................... <br /> <br />PUllBER ~ CDIIPAlIY If{ USS6"L-L m. b~ <br />!.VI <1'::2.- Stat:e Cert. or Regist:.' C. F Co :5 q 44 (" <br />Signat:ure 1/' l. ~ Cit:.y License Regist:rat:ion' 101 <br />.......................................... <br /> <br />IlEalAllICAL () CDIIPAIIY c;{ USSCLL J1-1, 731Z00/1" <br />"-t~ 011 ~ Stat:e Cert:. or Regist:.' en- CD 4-1 'z.;;4- <br />Signat:ure ' Cit:.y License Regist:rat:ion' ''11 <br />QJBBB~ . ................-::::-~................ <br /> <br /> <br />~ ? V\A (t) Stat:e Cert:. or Regist:. , <br />SignatUre /~ , r (,'D ~ CiI:y License Regist:rat:ion , <br />........................................... <br /> <br />APPLICAn... - IIY:~' s4JA.<'" r PIlIIIIIT OFFICER. <br />