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<br />APPLICATIOII FOR PERKIT <br />CIlY OF ZEPIIYRIIIU..S <br />alttI.DllIC OEPARlIIENT <br /> <br />'~Kt <br /> <br />~4 s 0 ~ <br />~o\-wl~ 8" <br /> <br />OWNER' S RAtIE JZ4-.:> ~,;/ ~~" ,2;( C. PIIOIIE ,/9- y/)~?;;:> -R2 >70 <br /> <br />~::::~ ~~ ~~!;;~~:N~: (:~ _Rf~Y- <br /> <br />LEGAL OESCRIPl'IOlM: 'LOf(S),;1.;z , B~SUBDIVISIOR~~/' ~# /g-~< <br /> <br />PARCEL 1.0.' /r?~'? t ~.;2/ -00'/0 - () n/ f.)D <br /> <br />022D <br /> <br />WRIt PR.OPOSED:~ Construction ---.JWdition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_lIove <br /> <br />_ne.o1ish <br /> <br />PROPOSED USE: <br /> <br />/~le Faai1y <br /> <br />---1I/F <br /> <br />_, of Units <br /> <br />_KID <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swill. P001 <br /> <br />Other <br /> <br />--.Jlest:aurant & Bea1t:h Departaent Approva1 <br />f <br />BUILDING SIZE: ,..:?c) X,.SO. /SCJD ~e Feet. <br /> <br />gf <br /> <br />Height <br /> <br />RESIDERTIAL: AtTAaJ (2) PLOI' PlAIIS & (2) SEIS OF BUllDIRG PIAIIS & (1) SET EllERGY FORMS. U <br />mtIItEKCIAL: AtTACH (3) SEI'S OF BUILDDlG PI...US & (1) SET EllERGY FORIIS. ** <br />**COPY OF COR"I'RAcr RIlX!UIlUID. <br /> <br />PElUlITS REOUESTED <br /> <br />_BUlLDIRG <br /> <br />$ <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />.2ec <br /> <br />AIIP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.JIEawIICAL <br /> <br />s <br /> <br />Va1uation of Kecbanica1 InstallaUon <br /> <br />_I'LUttBIRG <br /> <br />GAS <br /> <br />~k <br /> <br />ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF mRSTRUCTIOR: <br />. <br /> <br />_~ _Stee1 <br /> <br />Ot:her <br /> <br />FlRISHED FLOOR ELEVAnOllS: <br /> <br />FI". <br /> <br />IS PROJEcr 18 PLOOD ZOO AREA! <br /> <br />YES NO <br /> <br />*.........*.*.***...*****.**............** <br /> <br />BUILDER <br /> <br /> <br />COIrI'RACIOR SECTION <br /> <br />lDIPAn ?~~,~ <br />State Cert. r Regist. I ,'eOt;/cYP?J <br />City License Registration I \~8 <br />...*..........*.....*..*........*...... <br /> <br />'/ <br /> <br />Signature" <br /> <br />=CIAII ) (2 aJIIPAIIY t~A1kH ;:;'~ 5v$ <br />_,-=-=--~ , , ~Stare Cer<. or Regis<. , clt 00/0 7.'?Z- <br />re (" City License Regist:ration' /7 7Y <br />~ ........** ..**......*................... <br /> <br />/ <br /> <br />PLDtIBER <br />Signature \J~~ f. CJ0/~ <br /> <br />W'IIPAIiY DE;) P" So L, LV i' /Il. /t-v"-- ~ _ <br />Sl:ate Cert. or Regist. , t9 en? ~ <br />City License Registration , l Q '2 D <br />................**............*........... <br /> <br />/ <br />,~\~ <br />~' <br /> <br />ttEalARICAL <br /> <br />W'IIPARY EcCl1'e> cJ:w'?~ e>Z ~~ ~ <br />~ State Cert. or Reg:ist.' R () tJ 0 ~ <br />~ ~ .J,. City License Registration , \0.. K <br />.....*................**.*.....*........*. <br /> <br />Signature <br /> <br />OTUER aJ!IPARY <br />State Cert. or Reg:i.st. , <br />Signature City License Registration , <br />......*............*........**....*......* <br /> <br />APPLICAnON APPROVED BY PERKIT OFFICER. <br />