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<br />~..-"', . " <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYBIIILLS <br />BUILDING DEPARIIIENT <br /> <br />OWNER'S fWtE LLo V.D w. !lAiN ~:5 <br />OWNER'S ADDKfSS IJ CJ 1. C) / / -!!f S/ Z rfJ#Y.e J.//' L L 5 <br />JOB ADDRESS 6?7-3!'J // -6 5/ 2E P/lIf'/2/.1-/'1/5 rL <br /> <br />PHONE 913-..32::J 7 <br />F L 33.5"740 <br /> <br />335)Lo <br /> <br />LEGAL DESCRIPl'IOIi: LOT(S) <br /> <br />I/-, <br /> <br />BLOCK / <br /> <br />SUBDIVISION "r V5 0 /V <br />/ <br /> <br />PARCEL I.D.t~C2::0 '-d.I-~oSO-OOI qo - 01(;,0 <br />WORK PROPOSED: v" New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_ne.olish <br /> <br />PROPOSED USE: <br /> <br />Single FaIIUy <br /> <br />_"IF <br /> <br />_' of Units <br /> <br />_If/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Sv18. Pool 5flJk'4&E 5f1cO Other <br /> <br />_Restaurant 5: Health Departaent: Approval <br /> <br />BUILDING SIZE: <br /> <br />Id-. X /.;2 . <br /> <br />I C/-~ <br /> <br />Square Feet, <br /> <br />/0 " tf It <br /> <br />Height <br /> <br />RESID.ENTL\L : <br />COlftIERCIAL : <br /> <br />ATI'ACH (2) PLOI' PLt\IiS 5: (2) SETS OF BUILDIliG PI.ARS 5: (1) SET ENER.GY FORMS. <br />ATI'ACII (3) SEtS OF BUlLDIIiG PLANS 5: (1) SET ENERGY FORItS. <br />PROPERTY SlJKVEY KIlQUIRIID FOR ALL IImW OONSTRUCl'ION. <br /> <br />PERlfITS REOUESTED <br /> <br />-LBUlLDIRG <br /> <br />$ <br /> <br />boo, <br /> <br />Valuation of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AIIP Service <br /> <br />Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECIIMflCAL <br /> <br />$ <br /> <br />Valuation of lfecbanical Installation <br /> <br />_PLUKBUG GAS ROOFING <br />TYPE OF COlNSl'RUCITOIi: _Block L-Fralle _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COtIPARY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />ELECl'RICIAIi COItPAn <br />State Cert. or Regist. , <br />SiPnature City License Registration . <br />...*..*...**..***......*..*............... <br /> <br />PLUHBER COtIPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />......................*................... <br /> <br />KEGllAliICAL COKPARY <br />State Cert. or Regist.. , <br />Signature City License Registration . <br />.......................................... <br />I <br /> <br />OTRF.R COHPANY <br />State Cert. or Regist.. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERllI.T OFFICER. <br />