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<br />.. <br /> <br />APPLICAT.IO~ FOR PERHIT <br />CITY OF ZEPIIYRIH.LLS <br />BUILDING llRl'AR'lKE:Wr <br /> <br />OWNER · S <br /> <br />lWtE R ' ~,'- t) \) ~ \,.J S "' "\ 'C, PHONE ~ ~ 2. - <0 ~ ~ (!) <br />ADDRESs5C\. S~ ~\ \-\ ~\ ~e:-~", Y'~\-\ \'--'-_~ <br />.J!&A (f)~4 J/l <br /> <br />OWNER · S <br /> <br />JOB ADDRESS 6:;)33 <br />LEGAL DESCRIPTION: LOT(S) ~ l '0. <br /> <br />BLOC'K <br /> <br />StmDIVISIOl!i ~ \ Lvi::., ~_ ~ ~ ~ t> 't\ \ <br /> <br />PARCEL LD.# :s - ~\o.- -d.. \ - C:>\ ~~ - ~~~~~ - C!>\ \~ <br /> <br />WORK PROPOSED: ~ Construction .---..Jlddition _Al.teration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: <br /> <br />~ele Faaily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Depart:.ent Approval <br /> <br />BUILDING SIZE: 6<:'6 <br /> <br />,--~. <br />X 'V...:> . <br /> <br />"& \~ \ <br /> <br />\...\V <br /> <br />Square Feet, <br /> <br />\q , <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHHERCIAL : <br /> <br />ATTACH (2) PLot' PI.ANS &: (2) SEIS OF BlJfIIJllliG PLMJS &: (1) SET ENERGY FORKS. ** <br />ATTACH (3) SEI'S OF BUILDING PI.MS &: (1) SET DRRGY FORKS. ** <br />**COFY OF CONI'RACT REQUJI:RED. <br /> <br />PllmlITS REQUESTED <br /> <br />~UILDING <br />------- ELECTRICAL <br />~CllANICAL <br />~UMBING <br /> <br />$ \S)<0~~. ~ <br /> <br />Valuation of Total Construction <br /> <br />~r~~ <br /> <br />AKP Service <br /> <br />Florida Power Cbrp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />~~~~ '- <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />~ock <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_FraBe <br /> <br />_Steel <br /> <br />Other <br /> <br />FTIiISHED FLOOR ELEVATIO~S:C\. 'i <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE ARE..I\? <br /> <br />~ <br /> <br />YES NO <br /> <br />**************.***.*********************** <br /> <br />OOlNlTRACIOR SECTION <br /> <br />ELECTRICIAN 1//) <br />Sifm3turell7~ . ~ <br /> <br />BUILDER ~._./ COMPMUY Is\) ~\...) t'"_ '\ S ~\ ~ ,~ <br />~ ~ // State Cert. or Regist. 4# <:.. ~~... G) \ ~ ""\ '::> -"-- <br />Signature ~ _ City License Registration 4# - \ '1 <br />*** **********.************************* <br /> <br />wMPAlfl' t ~ ~ E \...'\;:.~ 'S:.\.C-, <br />Stat.e Gert:. or Regist:. 4# <br />City License Registration I ~t::::> <br />*****.*******.*******.....**************** <br /> <br />PUDKBER ~ 00lIP~~~~~' <br />~~ State Gert. or Regist:. tI/: <br />Signature f\) - ~~ City License Registration I \~'S <br />*.*.**~.****.**.******.*.**.***.***..**. <br /> <br /> <br />CO!fPANY .~) ~ ~.. ~ '-.J <br />/ State Cert. or Regist. , <br />City License Registration I ~ <br />..*~~.*.**~....~*~*.~~**.~*....*...*~* <br /> <br />~ E;:Z~~O~e~~:~i:" . <br /> <br />~.~~*.~..****.*.*...*~~.****.***~**.****** <br /> <br /> <br />APPLICATION APPROVED BY ?1~g 0.PAAJV>r <br /> <br />0'T1IER <br />Signat::ure't~ ---> <br /> <br />PERHIT OFFICER. <br />