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<br />APPLJ:~nOlSl }ltntPJrRKIT <br />CI'IY OF ZEPIIYRH1LLS <br />BUILDIRG DEPAR"II.MEm" <br /> <br />OWNER'S RAItE )1,,/2 ~ ~d....4J4-./ mmm f/:s -7,rZ-1-Z7~ <br /> <br />OWNER'S ADDRESS 3~ 2-~ 7 ~ :;i" '/ W, ~~/ ~ . 33S-st< <br /> <br />.JOB ADDRESS ~/II ~'~.. (a,. ~ ~ ~'3S~1 <br />~ ~'V ' <br />LEGAL DESCRIPTI05: UJI'(S) BLOC.'K SUBDIVISIOIil <br />t /)3,,~.-.;;J4-013.o -ca:;>.oo J{)/)IO <br />PARCEL LD. <br /> <br />WRK PROPOSED:~lSlev Construction _Addition _A1teration _Repair _Inst:all <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily Ii, _KIF <br /> <br />_, of Dnit:s <br /> <br />~K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />o.t:her <br /> <br />_Rest:aurant &: Hea1t:h Departaent Approval <br />BUILDDfG SIZE: 2..lf X 38'8:' <br /> <br />?/r ;/~ <br /> <br />A'l'TAGH (2) PIDI' PLAIIS &: (2) SEI'S o.F BUILDDiG PLUlS &: (1) SET ENERGY FORKS. U <br />ATI'ACB (3) SEI'S OF BUllDllIG PIAlSlS &: (1) SET mmRGY FORKS.** <br />**ropy OF CONTRACT KIlQUIlUlD. <br /> <br />Square Feet, <br /> <br />Height <br /> <br />J RESIDENTIAL: <br />cotttIKRCIAL : <br /> <br />PERNT1"S REOOESTRD <br /> <br />...iL.BUILDDfG <br />~ F.J.F.C'I'RICAL <br />~CAL <br />. ~PLUftBDfG <br /> <br />$ <br /> <br />.:23. ~ <br /> <br />, <br /> <br />Valuation of Tot:al Construction <br /> <br />/:)/J <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />-+/( W.R.E.C. <br /> <br />$ /;;~ ~ <br /> <br />Va1uation of Mechanical Inst:allation <br /> <br />GAS <br /> <br />ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE o.F COBSTRUCTIo.lSl: _Block. _~ _Steel <br /> <br />/)? ."fI . <br /> <br />o.ther <br /> <br />FIlIISJIED FLOOR ELEVATIOlSlS: - FI' . <br /> <br />IS PRO.JECT Di FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES Bo. <br /> <br />****************************************** <br /> <br />COlSlTKACIOR SECTIo.N <br /> <br />BUILDER . ~ OO!IPAlSlY /1.,12- ~ ~ ~ <br />V ) >./~ St:ate Cert:. or Regist:. f <br />Signat::ure /~ ~.... Cit:y License Registration , .:35fo <br />/' . ***************************************** <br /> <br />~~ .~~71 ~=~r~.::.~~DJ-;~. <br /> <br />L-a-/~~.t.... ~ "'>5---CU:Y License Registration t ~ <br />******************aaaaaa****************** <br /> <br />PLOIBIlR. / amPAlIY /~ ~ <br />Sigoa--~/Yl-~<" _.J<7~'__-h_._ ~~';eL~~eo~e:~;~:~i:n I /tJlf' <br /> <br />~~ ****************************************** <br /> <br /> <br />KEaJABI~ -7/~/ OO!IP~~ e~A '#<--. <br /> <br />. .::? ~~L St:ate Cert:. or Regist:. I <br />Signat::ure ~ ~ ~ City License Registration I 7f? <br />--- . n _ ..~~.................................. <br /> <br />0T1IF.R <br /> <br />Signat::ure <br /> <br />OO!IPAlSlY <br />St:ate Cert. or Regist. . IF <br />City License Registration I <br />****************************************** <br /> <br />.11'.., " <br />- <br /> <br />~- <br /> <br /> <br />. .. <br />> <br />,t <br /> <br />t" ~~>I~=' <br /> <br />APPLICATIo.N <br /> <br />VEl) BY <br />