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<br />: ~,.~ '. r ',,1 <br /> <br />APPLICATION FOR PERlfIT <br />CITY OF ZEPBYRH.lLLS <br />BUILDING DHPARTKENT <br /> <br />" <br /> <br />1/;/YJE s- I? IIv E5" //I/!i <br />OWNER'S ADDRESS C,.AJC /,VA t/;. D II' <br />~9~~ c;,4AL BL/// ~~04;'/R~/ 1/< <br /> <br />OWNER'S RAIlE <br /> <br />PHONE .51'-? -~3;:; -;2 700 <br /> <br />/t:/ :;35"/// <br /> <br />JOB ADDRESS <br /> <br />LEGAL DHSCIUPI'ION: toTeS) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' /O-~h.-;l/-OO~()-OOOOCJ-oo-.;,a <br /> <br />WORK PROPOSED:_New ConstrucUon _AddiUon ...L.AlteraUon ---.Jrepair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: <br /> <br />Single F_lly <br />-Lec:-ercial <br /> <br />_"'F <br /> <br />_' of UnIts <br /> <br />---.Jl/B <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Departllent Approval <br /> <br />BUIWING SIZE: ~() X ~.t), <br /> <br />16'00 <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COtUtERCIAL : <br /> <br />ATrACH (2) PLOT PLARS , (2) .SEJ'S OF BUlLDIIiG PLARS & (1) SET ENERGY FORMS. <br />ATrAm (3) SItTS OF BUIWING PLANS & (1) SET ENERGY FOmts. <br />PROPERTY SURVEY REQUlRIID FOR ALL NEV CONSTRUCI'lON. <br /> <br />LBUlWING <br />--KELECIRICAL <br />.,tL.flECllARICAL <br />bLlJtlBING <br /> <br />$ <br /> <br />~Cfq1 ~ <br /> <br />PERfIITS lUtOUESTED <br /> <br />Valuation o~ Total Cons truction <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of tlechanica1 Inst:a1lation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORsmucnoN: _Block _Fr_e _Steel <br /> <br />Other <br /> <br />nrflSHIID FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJEcr IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BUILDER <br /> <br /> <br />mRlll4CIOJl SJ!C1'ION xl!.- <br /> <br />aNlPANr ~~ . ~ <br />State Gert. or Regist. . . <br />City License Registration t ~ I ~ <br />.......................................... <br /> <br />Signa <br /> <br /> <br />COttPAfO' ,S;:.y,-;mr M. cCt..e t" L. - r;,e/ '::"P171I <br />State Gert. or Regist. G)eC1~I/S'f-3 <br />City License Registration t 0"'<7..:<.. <br />.......................................... " <br /> <br />Signature <br /> <br />~~ <br /> <br />GOtIPARY <br />~ . State Gert. or Regist.' c)o V- <br />City License Registration , <br />..... ...................................~ -7 ~ <br /> <br />COttPAIfY <br />State Gert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />~~ '0J <br /> <br /> <br />-J2 ~~ <br />I <br /> <br />PLlJtIBER <br /> <br />~"L. <br /> <br />IIHCBANICAL <br /> <br />Signature <br /> <br />OTRF.R . COPIPAIIY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPRoVED BY PERKlT OFFICER. <br />