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<br />7/~
<br /><t'7~/~1'
<br />/10
<br />UltNRll '" NMI. . f'r[(?if.'/LPtd./s__).. 8of? ~:rl;r Jj) 0/- r"ONR..:....._._..._~
<br />f~I'O~R f S ^JmI1l9~ ..<e~ ?>-'I.,_Jloj;:~Zt:L_ lA.k ~_/)E.'.__... '_.,." ....."~,,.___~__.h____..
<br />'01\ AlmRV"gS... ~~'3 rz lit' fl.:TH LA i:-e JJ.12-
<br />. "- m. ......... .... . ,---:... - '--'.- ~~~Gi::"e:;;:r-~ s.J..Ucn
<br />U!W\1. D8S (.::R I FT ION : ~OT(S>""7'--~-~-...__._81.f)CF\.._~.._SIJB()IVISIOtC.gA~4Ltt'~_9~e: '.'"
<br />PARCEL J .1J.f_.~__._, (O'~lff t'.IlPM PIWUUI..IAI....HOUIZl
<br />
<br />..
<br />
<br />APrl.lC'.ATlflN FOR PE'RHn
<br />CITY Of" ZEPHYlUULLS
<br />BUlIADING mn"ARTHENT
<br />
<br />WORK PROFOSElh__Ht!w Construction ~ddi tion ----^-lterat.:l.on __.,.Jepaf.r ___In.iiluU
<br />
<br />..~,.__8 lao
<br />
<br />........_Jlovt'!
<br />
<br />_))~IIOJ ish
<br />
<br />nwrOSEO USE:_..~._Sio.gl4! Fe.Uy
<br />
<br />_tt/f _.___.._.f of Unf.h ...~_H/B
<br />
<br />~,....__C~el'cial
<br />
<br />.__lwJu9t. _..__5wi.... Pool .'"..__~Other
<br />
<br />~.._Jf!"t$w:ant , Health DepsTtllent Approval
<br />
<br />!JESt:Rl~nON OP WORK:___......S~/Z/iafl_...1b(lf::...~@dt2.$J!I??....
<br />,
<br />8UILDING SIZ8: _--x-~_._qOO Squ4repeet.,_,.__.)feigbt
<br />
<br />RRSIOEMTL\l..: ATtACIl (2) PLOT PLANS If (2) SETS OF BUILDING PLANS.&: (1) SBT RNDGY PORMS,
<br />(;OHlfF.RClAL: ATTACH (3) SBTS OF BUILDING PLANS, (I) SET ENERGY FORMS.
<br />PROPERTY SUkVEY REQUIRED FOR ALl. NEW CONSnUCTION.
<br />
<br />,-, -",",,'l.~.-'....,. ""...-..-,..-'..". ".,-", ....._,.._""" ",_.:~"''' ,,~_ _,r
<br />
<br />~'..m._nUllJJ lNI;
<br />
<br />$
<br />
<br />00 fUt1llS... REQl(t:~
<br />~2BO- ~Va.1u-litJon of Total ComH.r.m.:t.ton
<br />
<br />___...-El.g(,'1."JU GAl.
<br />
<br />AMP Service
<br />
<br />.~_Florida Power C)otp.
<br />
<br />. .._._.___W.R.B.C.
<br />
<br />_..--1tEGUAXl(~I.
<br />
<br />$- .
<br />
<br />Valuation of Keclumiclll 11u,t.allA.tion
<br />
<br />__.....J'Lun.BING
<br />
<br />GAS
<br />
<br />.ROOFING
<br />
<br />~~~.._..,SPECIALTY
<br />
<br />liFB OP OOISfIlUCfION;. _~loclt.. _.._1n.e ___._Steel __.~_.__ ..._~___Othftr
<br />
<br />FI.I1.SR!J) FLOOR ELlVA'tlONS:
<br />
<br />FT.
<br />
<br />IS PROJECT IN FLOOD ?ONR AllIA' _~. "...;...
<br />YES NO
<br />
<br />......**.....*.........*....*.........~~.*
<br />
<br />.c.;UHI8.t&IOILSECT'(QI
<br />
<br />I\VU.QM /J/hAdo 'f>LIJA.JClfllrz:/ ; COKj)ANy._!I1!Jgti1:!t{?/J .4~. r..~~~,'_.._......_.."_.._
<br />~~~ 5-t.ate Cert. or Rellbt;. '-~~:rQ,::z~,,~..
<br />SiRllatuI'o. =--...... .'__ City Licens8 Registratloo . ~t:l..___
<br />.................................*,.......
<br />
<br />1JJUt~.(;J.Q COHPANY____..___..-~~-.,.....,.._.._._ '0" __...~_.."....<_~..'_.__
<br />5 tat.eCert. or Regis t.. ........~_.__~'"__...__.__~~
<br />S~t:__~_,__~~__~_~__ City Licenae Resist.ratiQu * _... .__._._._.___~__..
<br />..............................**...*......
<br />
<br />PUJl'tIlM eOtlPANY~_,__...._..., _.' ,'."" ."'...,._"...,,..,.,,_,,.,,,......._"'..,.~__
<br />Stat@ Cert. or Re,iat. ......"~"m,........_~..,~_".,~__"
<br />51Itllat.u..ff~ _~""___'_"~__________ City License Registration .,_...~,__^__
<br />......*t..................................
<br />
<br />IiBC:u&H.l. <.:AI.
<br />
<br />5i<<W*-turn _'_"'_. ..._
<br />
<br />L-oKPANY_____."..."...,'" ,.~~_~-._, ......__....___. ...___.___..____
<br />Sta.te Cert.. or ltegist. ....__,__P_._"'.._____~.____.
<br />.. -<.-. City License RegilltratlQQ . __,...._.___~._._
<br />.............*.***...........**........*..
<br />
<br />OlllJ;,.B,
<br />
<br />COMPANy.... ....._..._.~.~.H_~._.'" ~_.. ...".. "."._...~__,,____
<br />St(lte Cert. Or RegJst. * . ..._.~."._...__..""",,..~"'....
<br />r' City License RealRtf'Q.UOn , .._~..~_,~..._______.
<br />............A......*.*..*..***.........~*.
<br />
<br />[HR1V\ttH~ ,~
<br />
<br />ArPLlCATIOH APf'RuVEO BY
<br />
<br />v_..__.._.__~._.__ ..,..". _. ..~___.__,_. __. __
<br />
<br />f'KRtlIT OFFICER.
<br />
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