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<br />r,..-t..., .': <br /> <br />APPLICATIo.N FOR PERHIT <br />CITY o.F ZEPBYRIIILLS <br />BUILDIRG DEPAR'IIIENT <br /> <br />~ MA/.1 -Jorf1e <br /> <br />ij <br /> <br />o.WNER'S <br /> <br />~~Q <br /> <br />PHo.NE <br /> <br />o.WNER'S ADDKESS <br />Jo.B ADDRESS--La9 00 (; CLLe <br /> <br />61lJ& <br /> <br />LEGAL DESCJUPI'I.o.lI: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISIo.lI <br /> <br />PARCEL I. D.' <br /> <br />WORK PRo.POSED: lIev Construction --Addition _Altecation _Repair _Install <br />,- <br /> <br />V Sign <br /> <br />_Hove <br /> <br />_De.ol.ish <br /> <br />PRo.POSED USE: Single F8Ilily <br />/ec-eccial <br /> <br />_H/F <br /> <br />_' of Units <br /> <br />----"/H <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />o.ther <br /> <br />---Restaucant 5: Health Deparblent Appcoval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~uace Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />GOtItIERGIAL : <br /> <br />ATI'ACK (2) PLOT PLMiS 5: (2) SETS OF BUIIJ>IBG PLAIIS 5: (1) SET HRERGY Fo.RMS. <br />ATI'AaI (3) SIttS OF BUILDING PLAIIS 5: (1) SET EIIHRGY. FOBIIS. <br />PBOPERTY SURVEY REQUIRED FOR ALL IIEW CONSTRUcno.N. <br /> <br />PERIllTS REOUESTED <br /> <br />"""'BUlLDING <br /> <br />$. <br /> <br />Valuation of Total Construction <br /> <br />_ELEcrJUCAL <br /> <br />.AIIP Sendee <br /> <br />Florida Power Corp. <br /> <br />H.R.E.C. <br /> <br />,. <br /> <br />_tlECllARICAL <br /> <br />$. <br /> <br />Valuation of lIecbanica1 Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE o.F COIlS'lRucnOB: -.Jlloclt ~caae _Steel. <br /> <br />o.ther <br /> <br />FINISHED FLOOR ELEVATIo.NS: <br /> <br />Fr. <br /> <br />IS PROJECI' III FLOOD Zo.NE AREA? <br /> <br />YES NO. <br /> <br />.......................................... <br /> <br />Co.BTRACIo.R. SECTIo.N <br /> <br />BUILDER <br /> <br />COIIPABY <br />State Cert. or R.egist. . <br />City License Registration . <br />.......................................... <br /> <br />Signatuce <br /> <br />F.1.F.CIRl.CIAB <br /> <br />cottPAliY <br />State Cect. or Regist. . <br />City License Registcation . <br />.......................................... <br /> <br />Si-tuce <br /> <br />PLUflBER <br /> <br />COtIPARY <br />State Cect. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signatuce <br /> <br />ttECIIABlGAL <br /> <br />OTRF.R . <br /> <br />~1~~ <br /> <br />COtIPAliY <br /> <br />State Cert. or Regist. . <br /> <br />City License Registration . <br />..........................~..~............ I. . <br /> <br />L CUHPAllYDI '/..{~ S(~f)s;. < file. <br />I.. .(J State Cect. or Regi .. ES O()tJDO I 3 <br />- ~ City License Registration . <br />...... ................................ <br /> <br />Signatuce <br /> <br />Signatuce <br /> <br />APPLlCAnOR APPROVED BY <br /> <br />PERllIT OFFICER. <br />