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<br />OWNER'S IWIE N\ R. ~ }..(~ ~ ~i2: 1ii:u.s. <br />I <br />OWIIU'S ADDUSS 5-12.4 19th St<ee.1 <br />JOB ADDRESS ~ F\ J'..A..,fr <br /> <br />PHONE <br />Zep /-.l. ~~J.l1 l\....) <br /> <br />. /7 <br />. //f-'J '. qvf <br />\ ,,(j t{/ , <br />S~ JD.-'l <br />'7~v ~ 933'1 <br /> <br />APPLlCATIOH FOR. PEBKIT <br />CITY OF ZEPIIYlUIIu.5 <br />BUlLDDlG DEPARTKEIIT <br /> <br />LEGAL DESCRIPTIOII: I.OT(S) BLOC1L--.SUBDIVISIOH <br /> <br />PARCEL LD.' d- "2-<.0-- 2-.l- 0010 4 14400 .00100 (OBTAIII FROM PIWPERTY TAX NOTICE) <br /> <br />WOlUt PBOPOSBD:Lew CODstmction ~itiOD ~teration Jlepair _Install <br />b Af2....14 bot:> <br />~i8ll ---Kove --Peaolish <br /> <br />_ec-ercial <br /> <br />----1t/F _' of Units ----1t/H <br />_lDdust. ~wia. Pool /Other <br /> <br />PIWPOSED USE: ~iD&1e Faaily <br /> <br />---Restaurant 6 Health Departaent Approval <br /> <br />DESCRIPTIOII OF WOK: -:Bu.v Lc) f:+ 2..~ ()(-4o' Qo N(Jl.?1"r. 6lLJ.cJc. 6-~G-L-= U//M E{ tlE' <br />-Q I 0 pD,/IJ ~U A-7E. . S-t ~1Q rV'---- <br />BUlLDDlG SIZE: Z lJ X 40, / J20 Square Feet, (9) Height <br /> <br />IlESIDEIITUL: ATTACH (2) PLOT PLAIIS 6 (2) SETS OF BUlLDUIG PLAIIS 6 (1) SET EIIERGY FORMS. <br />COHHERCIAL: ArrACK (3) SETS OF BUILDING PLAIIS 6 (1) SET ENERGY FOBHS. <br />PIWPUTY SURVEY IlEQUI1lED FOR ALL NEW COIISTRUCTION ~ <br /> <br />.L...,sUlLDDlG <br /> <br />$ 2r'J/D09. 3/ <br /> <br />. PERKI.TS REOUESTED <br />Valuation of Total Construction <br /> <br />RT.KCTBICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.B.C. <br /> <br />---1IEawnCAL <br /> <br />$ <br /> <br />Valuation of llecbanical Installation <br /> <br />_PLlIIBDlG GAS JlOOFDlG <br />TYPE ~F mIlSTRUCTIOII: L.a1ock ~raae ~teel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIIIISIIED FLOOR ELBVATIOIIS: /; 34 Fl. <br /> <br />IS PBOJECl III FLOOD ZOIlB AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br /> <br />mHTllACTOR SECTION <br /> <br />WllPAIIY ZEAJdlt)) GflfrH<-- (j d/ldcftd,J <br /> <br />State Cert. or R.egist. . t28.eo4ab 3 ~ <br />City License Registration' 77 <br />......................................... <br /> <br />~ <br /> <br />RT .KCTIlICI All <br />,~ <br />Siooature 'A ('}- (f RA A <br /> <br />~ <br />EA~L~ <br /> <br />COHP~r~ fr r- l <br /> <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br /> <br />COIIPAIIY <br />State Cert. or Reaist. . . <br />City License Registration . <br />.......................................... <br /> <br />PLUllBER. <br /> <br />Signature <br /> <br />COIIPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />IlECHANIC.AL <br /> <br />Signature <br /> <br />COHPAIIY <br />State Cert. or RegiSt. . <br />City License Registration . <br />.......................................... <br /> <br />nTRRR <br /> <br />Signature <br /> <br />APPLICATION APPBOVED BY <br /> <br />PEBHIT OFFICER. <br />