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<br />r.........~...:... <br />. .. ,".. . <br /> <br />i" ". . <br /> <br />..-"r.. <br /> <br />I ~',' <br />... <br /> <br />.~;'T"1I"~~ T'" "1r"'~ ~"r..r-r-..... >'...,r,fI'I't?'oor-t~ ---... ...,.."",--.. <br /> <br />'~ APPLXCATXOR FOR rltRlfi'f'; <br />,( CIfi OF ZEPJJDWi.LLS;" <br />Bu:o:.DDlG DEl'ARJIIEIfT . <br />-;'. <br /> <br />i.. ;.J i if): <br />, ~ h'1 , ',,1., <br /> <br />":.,;' <br /> <br />t <br />~ I,' -."i;." <br />,+':':~. <br /> <br />, <br />j <br /> <br />IWHER'S HAHE /I1)Y~,n~r' #~;?JV",Y$/~/I11/SUAl'~1' <br />n1KER'S ADDRESS ~. H57~5to /dEP/G4~ eeV7BZ <br />1'''.:1D fJ/fa ~jJA.P' <br />" <br /> <br />PlIONE~!'I^' ?~""~~:r;~.!H' <br /> <br />..,' ...... <br /> <br />: "j <br /> <br />JOB ADDRESS <br /> <br />ZEP.#/.eN/~ .;rz. 5'f:7~ <br /> <br />I ,~ ", <br /> <br />" , <br /> <br />~SUBDIVISION <br /> <br />. . <br />, " <br /> <br />~EGAL DESCRIP'l'IOII: wr(~) <br /> <br />r ~ .' {.! -,. I, '1 <br /> <br />:'ARCKL I. D. f <br /> <br />&EAdAVleIJ <br /> <br />.oRK PROPOSED:-Lnvev Construction ---i\ddition _Alterati9n. ~e~ir ___IAs_y:all <br />. '~l 'f' . <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />---1f/F <br /> <br />_, of Units <br /> <br />~/B <br /> <br />. , . j . _.- <br /> <br />_<=<-ercia1 <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />-.-JI.estaurant &: Dea1th Departllent Approva1 <br /> <br />'..' .i 'j i.' II", t . <br />u~. ~. ,'~ ," i.~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />'..i" ""BeiSht <br /> <br />RESIDENTIAL: <br />cotmERCIAL : <br /> <br />ATrACII (2) PLOT PLAIIS &: (2) SEIS OF BUlIJ)ING I)LARS &: (1) SEt ENERGY' FORtIS .** <br />ATtACH (3) SIlTS OF BUILDIHG PLMIS &: (1) SF:I' ENERGY fORtIS. ** t . ' <br />**COPl' OF CONTRAcr lUIQUIRIJD. <br /> <br />PKRtIITS REOUP..sTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Va1uation of Total Construction <br /> <br />.. I ,~ ' <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br />, . .,! 1 . ,-., 'I. . <br /> <br />---1fECllAlfICAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />_ . \~: -" I j <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />J{OOFI~i(; <br /> <br />SJ."itt;.1AJ...Tl' <br /> <br />...-.. "..'....:-....- .:......----_..~ <br /> <br />TYPE OF CONSTRUCTION: ~1ock ----Yraae _Stee1 <br /> <br />Other <br />I <br /> <br />, ~' ',0, <br /> <br />FDfISBED FLOOR ELEVAnOBS: <br /> <br />Fr. <br /> <br />IS PllOJEer.. IN FLOOD ZONE AREA? <br /> <br />YES .,. ,NO I <br /> <br />*******************.****************...... <br /> <br />COURACJ'OR SHCTION <br /> <br />~ ' . . COItPANY ~Ld' ~JtJ.1'r~Ue1'/d"i <br />4 .A . ?:'l.. State Cert. or Regist.. , i.I,,'. 'r; <br />Si.gnature ~ -"u. . City License Registration' , <br />. . ..~.."\:.,..._.."..""".LrP'~.."" < ~~~ " ,.' <br /> <br />::::1~~ . COIl'ABY ~~. r~E\" <br />(#. State Cert. or Regist. , _ <t..(J.poo"gSSVI, ./ t. <br />. U _ City License Registration t '~~-3 <br />. ****..*****************************.***.*. , <br /> <br />amPAIfY ~.lLbI)/}fd;I'~-"~' I ' \',,1 <br /> <br />State Gert.oJ'Regist. "., ....,__'-; ./. <br />. City License Registration' .\. .IJ ~ <br />***.********...*-*******************.*.**.** <br /> <br />BUILDER <br /> <br /> <br />'t",: <br /> <br />PLUttBER <br /> <br /> <br />Signature <br /> <br />., <br /> <br />~AIfY I/dj,.... ~ J4(/;.~.~".rt;:i#'~"l+~~':::'-;-~ <br /> <br />State Cert. or~ist: ,. . ~.. . ,'. <br />City License Registration'" .... ~ll' ~ ; "'-'.' ...;' ..<. <br />\ ***. **********"'********************.********/1.'. .l..X' .': ;Lt.l'" il.k ..0;.11:'" <br />; j Ii' '. I \ )-...,/' /f' \. '. '. <br />. . ., ..,. . ....... . f. ..: .~ ,.....t,1-1-'t-..-;.' ~.... ~ <br />.. if <br /> <br />COlIPAIff <br />State Cert. or Regist. , <br />City License Registration I <br />***********************.****************** <br />. I ! 1 I ';'. t' <br /> <br />,- .. ~ ,. '1 <br /> <br />MECHANICAL <br /> <br />~. <br /> <br />Signature <br /> <br />" ~. t~, <br /> <br />, \ I ... <br /> <br />0111ER <br /> <br />SignatUre <br /> <br />,ot <br /> <br />," <br /> <br />. ~- ,; ; . I <br /> <br />" >'u~ h "\l4.f;.1;. <br />. . ~ , <br /> <br />. I.'~"I "1"',1 t . <br /> <br />j 'I" .: ~ ~ I' ),. \ t I. <br /> <br />APPLICAnONAPPROVED BY <br /> <br />PERKIT OFFICEN.,- <br /> <br />. ~ ..- f '., <br />n <br /> <br />.' ~ " . <br /> <br />--- <br /> <br />io. <br />