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<br />APPLICATION FOR PERIif.[T <br />CITY OF ZEPIIYRllIU..s <br />nUJILDIRG DRPARlHEm' <br /> <br />, OWNER'S NAME J3r(A~J /~t s>)~ll ~ ryM Ll..Jk <br />OWNER'S ADDRESS II ~L5 :h)$tA~ (f LN. .0, C . <br />JOB ADDRESS 55Ltb i g-m st, 2-Q,'P~'rh,))5 <br />LEGAL DFSCRIPTION: I.OT(S) 14)~~\1 B~SunDIVISION <br />PARCEL LD.' t1-U-lJ -oof.Q::lll-oO- oltiV <br /> <br />PllONESb7- 05/(, <br /> <br />WRK PROPOSED:_~ev Construction <br /> <br />~dition XUterationXRepair <br />I <br /> <br />_Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />_De.-olish <br /> <br />PROPOSED USE: X Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ' <br /> <br />other <br /> <br />~estaurant &: Health Deparblen.t Approval <br /> <br />BUILDING SIZE: ~Z- X LL- J <br /> <br />Ltro <br /> <br />Square Feet, <br /> <br />,14 <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cotttIRRCIAL : <br /> <br />AlTACH (2) PLOT PJ..A,NS &: (2) SEIS OF BUILDING p~S &: (1) SKI' ENERGY FORMS. ** <br />ATl'ACII (3) SETS OF BUilDING PLANS &: (1) SKI' ENERGY FORMS. ** <br />**COPr OF COKTkACT REQUJIRIlD. <br /> <br />PERKIlS REQUESTED <br /> <br />X BUILDING <br /> <br />$ J:iD - YCW <br /> <br />Valuation of Total ConstXl,lction <br /> <br />F.T .F.C'fRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1fECHAlUCAL <br /> <br />s <br /> <br />Valuation of Hechanical Installation <br /> <br />~UKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block -X--Fraae _Steel <br /> <br />Other <br /> <br />t~ <br />FIRISHED PlPOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT DI FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CDl/IlI'RACTOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COHPMff <br />State Cert. or Regist. I <br />City License Registration I <br />***************-********** ************** <br /> <br />ELEC'fRICIMl <br /> <br />Silmature ~~11 OJJ~ <br /> <br />CO'!fPANY -' 9 <br />State Cert. or Regi~t. , <br />City License Registration I <br />**********x******************************* <br /> <br /> <br />PI.UMBER ~ WoliFdIo"Y 11. <', A... {i <br />State ~rt. or Regist~ (i? r- t!/D s 7 Y71 <br />:::ture%--- . City License Registration' ,71 '7 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signa. ture <br /> <br />COHPANY <br />State Cert. or Regist. , <br />City License Registration' , <br />****************************************** <br /> <br />011IER <br /> <br />Signature <br /> <br />COHPMfi <br />Sta~Cert. or Regist. I <br />11>" City-.License Registration , <br />**********~****************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKI.T OFFICER. <br />