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<br />APPLICATION FOR PERKIT <br />CIty OF ZEPIIIlUlILLS <br />BUII.DllIG DEPAImlmlr <br /> <br />OWNER'S IWIEKolla..O<O l\ I'WS <br />\. <br /> <br />PROD <br /> <br />OWNER. , S ADDRESS <br />JOB ADDRESS 10 II 'B~\r~'eLDa..y~' ' <br />LEGAL DESCRIP'l'IOII: wr(S) <br /> <br />~SOBDIVISIO. Teph'fr \\d3-e- <br /> <br />PARCEL I.D.' <br /> <br />WORK: PROPOSIl'.D:_liev Coost:ruct:ion _Addit:ion _Alt:erat:ion _Repair _Inst:all <br /> <br />S. <br />-1gD <br /> <br />_lIove <br /> <br />_ne.G1i.sh <br /> <br />PROPOSED USE: <br /> <br />Single F-u.y <br /> <br />_fl/F <br /> <br />_, of Uni.t:s <br /> <br />_/H <br /> <br />_ec-ercial <br /> <br />_Indust:. <br /> <br />_SwiJI. P001 <br /> <br />Other <br /> <br />-'lestaurant: & Hea1t:h ~t: Approval <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />Square Feet:. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />aJIIIIERCIAL : <br /> <br />ATrAaI (2) PI.OI' PLAIIS & (2) SEI'S OF BOII.DIRG PIAIIS & (1) SET ERERGY FORIIS. ** <br />ATrAaI (3) SEI'S OF BUII.DIIIG PIAIIS & (1) SET ElIERGY FORIIS. ** <br />**mPr' OF aJIn"RACI' KIlQUIRED. <br /> <br />~LDIIIG <br /> <br />PI!:RIITTS REOllR.conm <br /> <br />$. :)n{}), 00 <br /> <br />Valuat:ion of Tot:al Coost:ruction <br /> <br />F.I.RCl'RICAL <br /> <br />AIIP Service <br /> <br />F10rida Power Corp. <br /> <br />V.R.E.C. <br /> <br />---"EawnCAL <br /> <br />$. <br /> <br />Valuat:ion of 1lecbani.ca1 Inst:allation <br /> <br />_PLlIIBIRG GAS KOOFIIIG <br /> <br />SPECIALTY <br /> <br />TYPE OF aJIISTIWCl'IOII: --..B1oclt _Fra.e _St:ee1 <br /> <br />Other <br /> <br />FIBISBED FLOOR ELEVATIORS: <br /> <br />Fr. <br /> <br />IS P:RO.JECI' III FLOOD ZORE AREA? <br /> <br />YES 110 <br /> <br />****************************************** <br /> <br />BmT.DER <br /> <br />aJIIII'KACIOR SECl'IOIi <br /> <br />fDfPA..il)+fllIla9J~ ..;{!emt=n f- / h~ <br />,.j v7 St:at:e Cert:. or Reg. t:. , . <br />!2frC;S ~{Jj~ --- Cit:y License Regi.st:rat:ion , LJ<f <br />..*************.*.......****.**.***..*.... <br /> <br />Signat:ure <br /> <br />1tT.F.cIIUCIAN <br /> <br />CDIIPAIIIY <br />St:at:e Cert:. or Regi.st:. , <br />Cit:y License Regist:rat:ion , <br />******..*************.******.**..***.**..* <br /> <br />SilmAt:ure <br /> <br />PI.l1MRm <br /> <br />aJIIPAIIY <br />State Cert:. or Regi.st:. , <br />Cit:y License Regist:rat:ion , <br />'. ~.*****************.**..**.**.********. <br /> <br />Sigoat:ure <br /> <br />" '" ',,' ,'~''', ' C(JIIpAIIY <br />>:': ., -': <br />': :r.'~~~ ;:;o! St:at:e Cert:. or Regist:. , <br /> <br />~ ." Cit:y License Regist:rat:ioo , <br /> <br />~~.***************.*.**.**.**...***** <br />J l~ . .~ <br /> <br />IlECllAllICAL <br /> <br />Sigoat:ure <br /> <br />" <br />";, ',," ~ <br /> <br />: ; <br /> <br />0'1"IIItR aBPAIIY <br />St:at:e Cert:. or Regist:. , <br />Sigoat:ure Cit:y License Regist:rat:ion , <br />.****.***.*********.********.*...****.**.* <br /> <br />APPLICATIOR APPROVED BY PERIIIT OFFICER. <br />