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<br />APPL.ICA1'ION fOR PERnIT <br />CITY OF ZIl:PIIl1UII US <br />BtJI'ILDlliG DIl',PARJftE'BT <br /> <br />OWNER'S NAHE <br /> <br /> <br />OWNER'S <br /> <br />.JOB ADDRIl'SS <br />LEGAL DIl'.SCRIPl'IOlM: 1.Or(S):2 ~ :J BlncK - SurBDIVISIOR J~...I h-u ~^'" A)11<. O~ <br />PARCEL LD.' ~.,;2f - .2 S-..- 21- () 00t) - (j{') 30ZJ -0 doO <br /> <br />WORK PRoPOsm:A-lIew Construction --.-J\ddil ion _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />~ve <br /> <br />_DeIIO.lish <br /> <br />PROPOSED USE: <br /> <br />Single Fallily <br />A-c:c-ercial <br /> <br />_"'F <br /> <br />_' of llTnits <br /> <br />_K/8 <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Restaurant 5- Health Deparhlent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COIPtttERCIAL : <br /> <br />ATTACH (2) PLOI' PIAIIS 5- (2) SEIS OF BUILDING PLUS 5- (I) SEI' ENERGY FORKS. U <br />ATTACH (3) SETS OF BUILDUIG PLANS &: (1) SEI'ENERGY fORtIS....... <br />......COPl' OF CONTRACT RIIQlIIIRllD. <br /> <br />PEmIlTS KEOUESTED <br /> <br />v;;.n LDING <br />~ECTRICAL, <br />~(''BJ\NICAL <br />6UKBING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />MlP Service <br /> <br />Florida Power Corp. <br /> <br />W.K.E.C. <br /> <br />$ <br /> <br />Va.luation of Kechanica.l Installation <br /> <br />GAS <br />X Block <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOR: <br /> <br />_Fr:mte _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.............................................................................................................................. <br /> <br />BUT I.OER <br /> <br /> <br />COIn'RAClOR SECI'lON <br /> <br />OO!tPMY 80.~~ \Jh.J. Co. I ~v.J~ <br />State Cerl:. or gisl:.' c..~a \~ ~3 <br />\ City License Registration I /. <br />.............................................................................................................................. <br /> <br />Signatu <br /> <br />ELECTRICIAN ~ OOPIPMYCaA"!~h E/~c.<</c <br />/J ~( / Ll~ State Cert. or Regist. I <br />SiJ!Dature,( _~~ 0t..J,. ~ Cit.y I.icense Registration' .#" /7:"5 <br />... ............................................................................................................. <br /> <br />PLUltlBER OOIIPARY ~o. ~ 0 N~:\:~ ~\ ~ "'" ~ <br />State Oerl:. or Regist.' <2. F 2...>1J1_ r <br />Signature City License Registration , 9/ <br />. <br />................................................................................................. <br /> <br /> <br />KECBAlUCAL <br /> <br />:&J tuIPAH ' <br />State Cerl:. or Regist. . <br />() W ~A---CitY License Registration , <br />............................................................................................................ <br /> <br /> <br />Signature ))01) <br /> <br />0IIIIl:R <br /> <br />OO!tPARY <br />State Vert. or Regist. I <br />City License Registration t <br />........................................................................................................ <br /> <br />Signature <br /> <br />APPLICATION APPIlOVIID.. '71 i!dl-<,~_4.d-d\_r <br /> <br />PERIIlT OFFICER. <br />