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<br />g {; Ie It. j-(J fe t ~ .' t- :t:i- <br />/0 PlY 7 is eI- ~S:-{J f; IS <br /> <br />APPLICATIOH FOR PERKIT <br />CITY OF ZEPBYRHIL!.S <br />BUILDING DEPARTHEHT <br /> <br />- Vol-I'1 0 cfo ' 1l" q1 <br />~;r)l.~),\' q <br /><['Pll , ' <br /><\. <br />P N~ 7f'cJ -- s- s,.'-cJ f;:J <br />Z f:: P tt: y~ J;,' /4-, />~ .1'..:i....r-~ / <br />. , <br /> <br />:z e? .c: YL-. h ,'//.-.{ ~ /-~ /. <br /> <br />OWHER'S NAME <br /> <br />{--0 [4--1 . <br /> <br />r. ,it/'-Jt2. <br /> <br />OWNER'S ADDRESS 'Y / -9 7 [! cf J ~- <br />JOB ADDRESS 6 j> & ~ --- <br /> <br />it'd <br />G'd// g Iv (:1 <br /> <br />LEGAL DESCRIPTIOH: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIH FROM PROPERTY TAX HOTICE) <br /> <br />WORK PROPOSED:~Hew Construction _Addition ---..Alteration ~epair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />-X-eo-ercial <br /> <br />_KIF _' of Units _K/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTIOH OF WORK: TN Ie k: .' ~ ~ <br />UN,. f- / ( <br />BlJiIURQ SIZE: ~{J x~CJ . 6 r.1 () <br /> <br />t:,~ ,- /- e u ' . / cI d l.L I- <br /> <br />- RedU /y [:hc9?< <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUlLDIHG PLANS & (1) SET ERERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET ERERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COHSTRUCTION. <br /> <br />_BUlLDIHG <br /> <br />I ~I .;t ~ I)~./'t'. PERKITS REOUESTED <br />$ tr i <' 7 - Valuation of Total Construction <br />l..s-O AMP Service Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />--1IEGIIAIO.CAL <br /> <br />$ <br /> <br />Valuation of ttechanical Installation <br /> <br />_PLUKBING GAS ROOFIHG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOH: _Block _Praae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnOHS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZOHE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COHTRACTOR SECTIOH <br /> <br />BlITlJlER COMPANY -;r () t M L, S; t...., ,-:-1- tic. t J "/.f :/ , <br />/7 _~ ----/" /" ~ <,/'State Cert. or Regist. . R.& ~ ~d , ( <br />Signature / b-- ~ - ~ ~_. City License Registration' . 7 <br />~ ************************************** <br /> <br /> <br />COMPANY S <br />State Cert. or Regist.' t!J 0 <br />City License Registration . <br />*********************************** <br /> <br /> <br />/'1 b' ~ <br />PLmmER /l / / . /) 1 ~. GOttPANY .. 11 ,1) ('J <br />/ ,.----/J...-jJ /. j!{ I State Cert. or Regist.' k. <br />Signature(: It '1'.//';)Jf~vt./)_ ,LV' . City License Registration' <br />****************************************** <br /> <br /> <br /> <br />COMPANY A',/u ..c. ~ <br />" State Cert. or Regi~ . <br />City License Registration' J ~ G2-.. <br />..............**.......................... e <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OPFICER. <br />