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<br />APPL'ICATIOR FOR PERKIT <br />erlY OF ZEP.IIYRIIILLS <br />BUlI.DIJiG DEPAImIENl' <br /> <br />OWNER"S IWIE ~4e b<</~J ~(, JIHO~3~ f/Z2-.cP2'yC <br /> <br /> <br />OWliER"S ADDRESS /C?Jd/JC:.t 4.A!::~ "d/4C:'i C~ /" #-5"?7Jif <br /> <br />JOB ADDRESS31SSb .?'/e4c6~D r.~./" ~c'c) J j ./c//d5'/h:.4?;- /.7 <br />-,. ,. /' - <br /> <br />LEGAL DESCRIPl'IOII: UJI'(S) <br /> <br />/ /r;; <br /> <br />BlOCK <br /> <br />SOBDIYISIOII ~8:J<c-i:V;("-)L'nd''' cd~ <br /> <br />PARCEL LD.I <br /> <br />WRK PROPOSED:~ Construction _Addit:ion _Alteration _Repair _Inst:all <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De.olish <br /> <br />PROPOSED USE: L.~le Fa.ily <br /> <br />_KIF <br /> <br />_, of Unit:s <br /> <br />_KID <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Rest:aurant & Health Depart:aent Approval <br />I r" <br />BUILDIKG SIZE: C?S Xsu /?/CYR ~e Feet. <br /> <br />?/ <br /> <br />Height <br /> <br />RESIDEHTIAL : <br />cotttIERCIAL : <br /> <br />ATI'ACII (2) PI.Or PIAIIS & (2) SEI'S OF BUILDIIIG PLAlfS & (I) SEt EllERGY FORtIS. u <br />ATI'ACII (3) SEI'S OF BUILDDDG PJ.AIiIS & (1) SET EllERGY FORtIS.** <br />**COPY OF CORTRACT KIlQUIRIlD. <br /> <br />PERMITS REOUHSTED <br /> <br />_BUILDUIG <br /> <br />$ <br /> <br />Valuation of Tot:al Construction <br /> <br />_ELECl'RICAL <br /> <br />;;;:;:...0 Co <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---ltEClfAllICAL <br /> <br />$ <br /> <br />I I goo, C)c0 <br />, <br /> <br />Valuation of Kecbanical Inst:allat:ion <br /> <br />_PLUKBDlG GAS HOOFDiG <br />TYPE OF COKSTRUCTION: ~lock _FraIIe _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIIIISBED FLOOR ELEVATIOKS: <br /> <br />Fr. <br /> <br />IS PRO.JECT IN FLOOD ZOO AREA! <br /> <br />/ <br /> <br />YES KO <br /> <br />****************************************** <br /> <br />BUlWER <br /> <br /> <br />cornRACIOR SECTION <br /> <br />,,;{;' /,J d ,/ /~ ~T <br />COIIPDY / C-OI'C' eJi-<../ /CU?/'f /;.hA c <br />St:ate Cert:. or Regist:. f CL5C 0 t:/'.? '/ ?...r- <br />City License Regist.ration f -.:.?22_ <br />******************************* <br /> <br />Signature <br /> <br />::CIAH1!u :4~ W!lPAKY ,.J I /j; <br />~ State Cert. or Regist. 1 <br />S . IPI1 ure . City License Registration I <br />-- ******** * **************************** <br /> <br />- C .. Pkr,.61 <br /> <br /> <br />PUllBER <br /> <br />{2e <br /> <br />~1/t.~---- <br /> <br />W!lPMY <br />State Cert. or Regist. f <br />City License Registration I <br />****************************************** <br /> <br /> <br />Signature <br /> <br />~J~~ <br />'j'! ' <br />I <br />APPLlCATIOK APPROVED BY <br /> <br /> <br />~~ <br /> <br />W!lPANY E Co Af 0 C ~I(,t.. -:R:(" /I ('c7;-A/ p <br />St:ate Cert. or Regist. I f\ OOb Oq 5'0 <br />I.- City License Registration I / tJk <br />****************************************** <br /> <br />lDIPAIIY ,(4 ~L f:t.- <br /> <br />State Cert. or Regist: f - <br />City License Registration I <br />****************************************** <br /> <br />KECllAllICAL <br />Signature 1Jdi 7" ~ <br /> <br />PERKIT OFFICER. <br />