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<br />APPLICAT.iON FOR ~ERttIT <br />CITY OF ZEPBYRIIII.LS <br />BOIIJUIIG DEPAR11IEXT <br /> <br />OWNER'S RAttE ~~ \C:\ A.)~ La ~?U~ L \J l-.-I <br />OWNER'S ADDRESS \~00 L<L'L ~D"'~ l \) ~Lf\lv\:")\:J 'i-L <br />S~ ~0'2 tvlA.C ,3~'--YY <br />LEGAL DESCRIPl'IOIli: L.OY(S))5) 9) I 0 BLOCK / ~ <J SUBDIVISION <br /> <br />PHONE 4.\:)7- ~~qs-- 3DllP <br />~ZglO <br /> <br />JOB ADDRESS <br /> <br />~L <br /> <br />PARCEL I. D. t <br /> <br />WRK PROPOSED:_l81ev Construction _Addition _Alteration _Repair _Install <br /> <br />LSign <br /> <br />_lIIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br />Leo.aercial <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_Indust. <br /> <br />_S,"-. Pool <br /> <br />Other <br /> <br />~estaurant &: Health. nepan:.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COttKERCIAL : <br /> <br />A'l'TACH (2) PLOI' PI..DS &: (2) SEIS OF BUILDIlfG PIAl81S &: (I) SEt' ENERGY FORKS. ** <br />ATTACH (3) SEI'S OF BUILDING PIAl81S &: (1) SEt' ENERGY FORMS.** <br />**coPr OF CONTRACT ~0IRIlD. <br /> <br />PERlPlITS REOOESTED <br /> <br />_BUILDING <br /> <br />$ ~.~15;[)U <br /> <br />Valuation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlUCAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFDiG <br /> <br />SPECIALTY <br />~lU.MifljU.Yv'--- Other <br /> <br />TYPE OF CONSTRUCI'ION: _Block _Fraae _St:.eel <br /> <br />FlliISBED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PRO.JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CODn'KACIOR SECTION <br /> <br />BUTT.DF.R COIIPANY K6\{~-\-o)") ~W(:)(tA~0 <br />~ \J... 1\\. \ State Cert:.. or Regist. I L.r)., c.. 0 (u L 3 lo <br />Signat:..u.re O\~ \-.-..J. .t'\\jA\~ City License Regist:.rat:.ion I V' O-b <br />************.*....************************ <br /> <br />ELECTRICIAN COIIPARY <br />State Cert:.. or Regist:.. ., <br />Signature City License Regist:.rat:.ion f <br />**.********.**..******.*.***************** <br /> <br />PLOKBER COIIPANY <br />State Cert. or Regist:.. ., <br />Signature City License Registrat:.ion I <br />*************.......*.******************** <br /> <br />KECHANICAL COIIPARY <br />State Cert:.. or Regist:.. I <br />Signature City License Regist:.ration f <br />************.*********************.******* <br /> <br />OTBF.R COIIPANY <br />State Cert:.. or Regist:.. , <br />Signature City License Regist:.rat:.ion f <br />**.*.***.**...**************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />