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<br />APPLICATIOII FOR PERIIIT <br />CIlY OF ZEPIIYJUIILLS <br />BUILDDIG DEPAImIEIn' <br /> <br />OWNER'S IWfE CAR E-~ <br />0WlIER' S ADDRESS -, S 0 S R-o ~ Y\ ~ \...A-vv\. <br />J <br />JOB ADDRESS 4 h 4 S- Jh it Po tt-1 /l..t') <br /> <br />f~ <br /> <br />PID1E~\\'- ~~b:L- ct;l <i \ <br />PuR\" {t '(:..\.\E-'1 ,~ '3>4 bb>? - 2.. b 4 ~ <br />. <br /> <br />~H'1((HJLl \ <br /> <br />LEGAL DESCRIPI'IOlI: I.OI'(S) <br /> <br />~SUBDIVISIOB <br /> <br />PARCEL I..D.' <br />.- <br /> <br />\ 3 - 2 (, - Z I - 00 ~ C - 60 GOO - OG 20 <br /> <br />WRIt PROPOSFJ):_Sev Coost::roct:ion --.J\ddit.ion ~Alteration ---.Jlepair _Install <br /> <br />S. <br />- 19D. <br /> <br />_Hove <br /> <br />_De801ish <br /> <br />PROPOSED USE: <br /> <br />Si.Dg1e Faaily <br /> <br />_KIF <br /> <br />_' of Unit:s <br /> <br />_K/8 <br /> <br />.:x..-eo-ercial <br /> <br />_Indust.. _Swill. Pool <br /> <br />Other <br /> <br />--Restaurant: &: Health Deparment: Approval <br /> <br />BUILDDG SIZE: <br /> <br />x <br /> <br />~e Feet:, <br /> <br />Height <br /> <br />RESIDEITIAL: ATrAaJ (2) PI.OI' PlAIlIS &: (2) SEIS OF BUllDDIC PIAIIS &: (1) SEt' EllERGY FORKS. u <br />COttKERCIAL: ATrAaJ (3) SETS OF BUllDIBC PLUlS &: (1) SEI' EIIERGY PORIIS.** <br />**COPl' OF COlITRAcr REQlBIRIID. <br /> <br />PERlPIITS REOUESTED <br /> <br />.2S-BUllDDiG <br />~CAL <br /> <br />..i....JmawnCAL <br /> <br />-LPwmIBG <br /> <br />$. <br />N4 <br /> <br />Va1uat:ion of To1:al Coast:nJct:ion <br /> <br />AKP Service <br /> <br />V Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$. <br /> <br />Valuat:ion of 1lecbanica1 IDst:allat:ion <br /> <br />GAS <br /> <br />)( BOOFDIG <br /> <br />SPECIALTY <br /> <br />TYPE OF COIlSTRUCI'IOll: ----"lock _Fraae _St:ee1 <br /> <br />Other <br /> <br />FIlIISHF.D FLOOR ELEVATIOIIS: <br /> <br />Fr. <br /> <br />IS PKOJEcr D FLOOD ZOJIE AREA' <br /> <br />YES 110 <br /> <br />****************************************** <br /> <br />aD'I'RACIOR SItCJ'IOII <br /> <br />BIJTTDv.R ~ <br />S ignat:ure <br /> <br />\ C:~ ll-- <br /> <br />aIlIPAIIY (,~)k ~Lo~ CX'\~\ <br />Stat.e Cert:. or Regist:.' (' ..fl,C--D3>qO~ ~ <br />City License Regist:rat:ion , f..I.ltJ. <br />\****************************************** <br /> <br />ELECTRICIAH aJIIPMY ..j (jJ. AJ ~ ,c..A.A J d.5D III E: L tell', c. <br />Cl./J ,c.....;- / State Cert:. or Regist. I dc:cc:l 1:.// <br />SiPl1at:ur~ tJ .-1\ ~ City License Regist:rat:ion' ~ <br />****************************************** <br /> <br />Signat:ure <br /> <br /> <br />CDlPAlIY <br />~ State Cert:. or Regist:. t <br />~~ City License Regist:rat:ion I <br />********* *************************** <br />( <br />aJIIPAIIY ~ C /:/'/1/ if 5 <br />State Cert:. or Regist. I <br />City License Regist:rat:ion I <br />********************************* <br /> <br /> <br />PLlIIBER <br /> <br />Signaf:ure <br /> <br /> <br />.d1 <br /> <br />KEaIAlIICAL <br /> <br />Signat:ure <br /> <br />aJIIPARY C'"\ t ~ '( 0 0 p\ t..J ('"\ <br />b . State Cert. or Regist. , CCCCk3 ~'~:F-';I <br />!::f '-- ~) City License Regist:ration I 104 <br />. ,. .. ******************.******..-****.********* <br /> <br />OT'IIF.R <br />