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<br />. . ."" <br /> <br />. APPLICAnON FOR PERKIT <br />CITY OF ZEPIIYRBIUS <br />BUILDI.NG DBPAR'l'HENT <br /> <br />OWNER.' S twm 5: I'VJ Nt -.t v <br /> <br />."., <br /> <br />;Jl L-CBUf I j -LVS PHONE 1 f2 - J- 70- <br />OWBO'S ADDBBSS So?!.~ S~.#'VJrl/I<j/ lhi/ ()Ylt/-( 2~/Jj,iJ' i,t/J ftl.! <br />c')l J? SCA~M.~y 141ft Drltl~ 21:,'l/it.-ftJ fE/4 <br />LEGAL DBSCRIP'fiON: LOT(S) ;).. 7 BLOCK SUBDIVISION ".52(""M~Y All ~/j(}/tltf~f <br />/;( - -:.2 6 -cJ. / '-lfy - 9'{, - cJf!) /rCOBTAl.N FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:Lew Construction -Addition ---J\lteration -..Repair TnAta11 <br /> -8ian ---.JIove --..f)eIIolish . ~ <br /> .'.- , <br />PROPOSED USE: Lingle Faai1y ---14./F _' of Units ---14./B <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />-..Restaurant &: Health Departaent Approval <br /> <br />DESCRI.PTI.Oll OF WORK: Ala; ;-It; 1M! e jl t!JIfvG17<< c. ru" <br /> <br />BUILDIlIG SIZE: t/f X tfJ;, Square Feet, </ Height <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDIlIG PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ArrACH (3) SETS OF BUILDIlIG PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />.. PERMITS REOUESTED <br /> <br />v RI.R.crIUCAL <br /> <br />5~ tJC() Valuation of Total Construction <br />. .# <br /> <br />;l Pi? A!IP Service V Florida Power Corp. <br />$. l~jOO,.- <br /> <br />W.R.E.C. <br /> <br />~UILD1NG <br /> <br />$ <br /> <br />-=::..JmCllAllICAL <br />."./ ..-. <br />~utlBI1IG <br /> <br />Valuation of Hechanical 'Installation <br /> <br />GAS <br /> <br />5/t f ""5;' ROOPlRG <br /> <br />SPECIALTY <br /> <br />TYPE OF OOlISTB.UcnOll: ~loclt ~ra.e _Steel Other <br /> <br />PDlISBED FI.OOR ELEVAnOIlS: 101 Fl. :IS PROJECt IN FLOOD ZORB AREA., .....k: <br />YES NO <br /> <br />.......................................... <br /> <br />RIJTlJlO <br /> <br />cORTRACl'OR SBCTION' <br /> <br />j //- OOHPANY . ~ 4Ln5 <br />~k/. State Cert. or Re ist.' C 6 L.~o...ll::.'j 11 <br />~. City License Registration . 401 <br />.......................................... <br /> <br /> <br />COMPANY ~keffp.r J. € (< ~.f-v-... '- <br />State Cert. or Regist.' Eft. oooe:"~7) <br />City License Registration.' ;w,. to <br />.......................................... <br /> <br />Signature <br /> <br />~~~~ <br /> <br />COMPANY 14 c.~,. 1M- O?v I1lt'z-.k ..e__ <br />State Cert. or Regist. I. RF- <br />City License Registration . <br />.......................................... <br /> <br />~q,.b 11 <br />Js5" <br /> <br />PLutlBO <br /> <br />IlEClWD:CAL <br />Sipature y", <br /> <br />~~ <br /> <br />Signature <br /> <br />COMPANY ;;; L11?~ j 'f f ~ h-- I- <- <br /> <br />0) (2L-- State Cert. or Regist. t C-M L c>4, 07C::. <br />~ ~ City License Registration f IiI <br />.......................................... <br /> <br /> <br />- K <p",-~ ~::~~~~~~~~'}e <br /> <br />..~..~.............................. <br /> <br />.!JOb^;;; ~? <br />..:1>> <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERHIT OFFICER. <br />