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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHIU..S <br />BUILDING DEPAR1IIENT <br /> <br />OWNER'S BAKE ROj)N~i E M.D I....AlJRA .s.. .8'C-€ PHONE 782 -- 80Cl.5 <br />OWNER'S ADDRESS 72.05 APPI..Cr197"E .Dl?IJE-. Zep~RifJu..S.. ,:2,33.510 <br />~ ( <br /> <br />JOB ADDRFSS <br /> <br />SJ&/,.-,E. <br /> <br />LEGAL DESGRIPI'lON: toTeS) /...cr 1 <br /> <br />BLOCK <br /> <br />SUBDIVISION AL.P~A v,L.l..JI'J're. E'sIIF/gs ~IISt:I. <br /> <br />PARCEL 1. D.' <br /> <br />3,5~,:<s-QI ~ OOS()-OOO()()- oCd-D <br /> <br />WORK PROPOSED:_New Const.ruct.ion _Addition ---L.Alt.eeat.ion _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: 'f. Single FUlll}' <br /> <br />_tf/F <br /> <br />_, of Units <br /> <br />~tf/H <br /> <br />_ec-ercial <br /> <br />_Indust.. <br /> <br />_Swu.. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health DepartJIent Approval <br /> <br />BUILDING SIZE: 2. 8 X.:5 () . <br /> <br />/ ''fa 0 <br /> <br />I <br /> <br />Square Feet. <br /> <br />8" <br /> <br />Be ight <br /> <br />RESIDENTIAL : <br />cotIPIERCIAL : <br /> <br />ATTACH (2) PLOT PLMiIS &: (2) SETS OF BUlLDlliG PLANS &: (1) SET ENERGY FORtfS. <br />ATrACH (3) SE"I'S OF BUILDING PLANS &: (1) SET ENERGY FORtfS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />...LBUlLDING <br />~ELECTRICAL <br />~ttECBArflCAL <br /> <br />$ <br /> <br />'7:<?t ~ <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of tfechanical Installation <br /> <br />_PLlI'IBIRG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOH: _Block _FeUle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />. CORTRACI'OR SECTION <br /> <br />S-~rf--;2 933 <br /> <br />B~~ ~ COKPARY S-r. ~6C"H L?oN~ntJ(;.'IJO~..:L.rJ<..- , <br />Stat.e Cert.. or Regist.. I C B 0 'i'5 2 3 t <br />Signolture ti City License Registration t -'/0 'T <br />****************************************** <br /> <br />HI=CIAII_ (0 ~ 6/" =~rr.:: k&i:f./j N7,J, C <br /> <br />SiPD:#IIture ;';'!'>;;/"/d 1(/ ~V<-/ City License Registration I. 50 <br />****.***..**.*.*************************** <br /> <br />PLUKBER <br /> <br />GOKPAH <br />State Gert. or Regist.. , <br />City License Regist.rat.ion I <br />****************************************** <br /> <br />Signature <br /> <br />Signat.ure <br /> <br /> <br />, <br /> <br />cottPARY TA t-1~ S. AI L- tt~7 f vtJ 6 <br />State Gert.. or Regist.. I (t- fl-iLtJ <br />Cit.y License Registrat.ion I b~ <br />****************************************** <br /> <br />OTRF.R <br /> <br />COMPANY <br />Stat.e Gert.. or Regist.. I <br />Cit.y License Regist.ration I <br />****************************************** <br /> <br />Signat.ure <br /> <br />APPLICATION APPIllIVED BY '11 aAt1' V _"ff ~ <br /> <br />PERllIT OFFICER. <br />