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<br />APPLICAnOma FUR PERttIT <br />CITY OF ZEPBYRIIIU..S <br />BOII.DIliG DEPARlIIENT <br /> <br />-:f/:J( F ~~~, <>-V <br />(p - ()6~ 9-6 <br /> <br />OWNER'S NAtIE ;:,~l1e <br />OWIIER'S ADDRESS 70'~ <br /> <br />/) '~ ~ "/~ <br />l ~ Uf cf!.C',;t..!:....+--/1 c: . <br /> <br />PIIORE 97"/- f/2? -32(/0 <br /> <br />JOB ADDBESs3~'Irr <br />, <br /> <br />J~'1e.r ~.e /~/~/es r3Ty /""c~ 3?8VY <br />A'/h..o/;'{ /lve " 2 ~/y),,~'/.f /17 <br /> <br />LEGAL DESCRIPTIOlI: WT(S) ,30'" B~SU8DIVISIOR /-/;101,!;l /~/;"/fX/ __\t.l6-:tr:-/s"'o....., <br /> <br />() oC c __ <br />PARCEL LD.' I ~ - ;}6 -J-/-p:J- f-tJ- 0 -~3 ~ C) <br />1lUKJ( PROPOSED:~ev Construction ~H.ion _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De.olish <br /> <br />PROPOSED USE: ~ing1e Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Restaurant &- Heal.th Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />~3( X ~D (, <br /> <br />/3 <( / <br /> <br />Square Feet, <br /> <br />/ <br />?' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />aJIttIEKCIAL : <br /> <br />ATlAaI (2) PJ.OI' PIAIIS &- (2) SETS OF BOILDIRG PI.AIIS &- (1) SEI' EREKGY FORKS. ** <br />ATrAaI (3) SETS OF BUII.DIIIG PI..UIS &- (1) SET EREKGY FORtIS... <br />..ropy OF mtn"RACT ~UIKIl'D. <br /> <br />PERlfITS IlEOUESTED <br /> <br />_BUILDING <br /> <br />$ .._19. S-c1) I (X) <br /> <br />, <br /> <br />Valuation of Tota1 Construction <br /> <br />___ELECl1UCAL <br /> <br />7^D <br />,L;.-~ <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br /> <br />s <br /> <br />Valuation of Kecbanical Inst:allation <br /> <br />_PLUKBIIIG <br /> <br />GAS <br />~loclt <br /> <br />IIOOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF mNSTRUCTIOR: <br />. <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FIRISBED FLOOR ELEVATIOIIS: <br /> <br />fT. <br /> <br />IS PKO.JECT III FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />corD'RACIOR SECI'ION <br /> <br />lDIPANY R 14: ,60.-;1 '/k.. ,:2?Cc.., <br />State Cert. or Regist.' C~C 0 'I'.r'77_r- <br />City License Registration . ) 7 Y <br />....... ........*.................*...... <br /> <br />~:; . . <DJfpMIY(J,tJ/V~ '?~I}/C SVs <br />"-7 J 7", ~ State Cert:. or Regist. . ~R _ c/o 731- <br />__tu_~~ tJ...., City License Registration' _ /'777' <br />- ........ ................................ <br /> <br />lDIPMiY 11, e. P/(N7Y/~~ <br />4~' 0 //7_. State Cert. or Regist. , <br />Signature :/ {L ~ V~ Cit.y License Registration f /:3~ <br />.......................................... <br /> <br />BUILDER <br /> <br /> <br />/ <br /> <br />.v' <br /> <br />PLDlBER <br /> <br />'/r <br /> <br />v/ <br /> <br />KEarAIiICAL lDIPANY E CQ A/ 0 Co.(1/; ~ f I-/r-,' 1/ ~ / <br />Signature A I /1 -J' -P H- ~ State Cert. or Reg:ist. 00 'lJ..n.' dr /?lftJtJl. (/ qJd V <br />bL.~ ,. r&~ ~ City License Registration . /1' <br />.......................................... <br /> <br />OTHER lDIPANY <br />State Cert. or Reg:ist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERIIIT OFFICER. <br />