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<br />APPI.TCATION' POk i'EmlTT <br />CITY OF ZEPBYmIILLS <br />BUfUDIl'ilG IlEPAFlKRItilT <br /> <br />OWNER'S NAME <br /> <br />".ff;:;/ bElt'.. <br /> <br />~c. <br /> <br />.2~ <br /> <br />mONE 913 -7R"2--J.-Z,7.( <br />3 3(Po 9 <br /> <br />OWNER'S ADDRESS ...57>/2- ~ S~ 77/"1?1"IA. RA , <br /> <br />JOB ADDRESS <br /> <br />$7{g33 <br /> <br />~~ ,J:J~., ;Z6:,PhY-LlHUf/ Fu1 33jV, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDH"ISION <br /> <br />PARCEL LD.# ~..s-,(6-~/ -~/.!I.?J -Pt:7o.eu::~ -~.s-: 0 <br /> <br />WORK PROPOSED:~l!iJew ConstructilOn _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_De.80lish <br /> <br />PROPOSED USE: ~ Single F3Dily <br /> <br />_"IF <br /> <br />_' lOf Units <br /> <br />...;( HIH <br /> <br />_C0.8ercial <br /> <br />_ _Indus t. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Depar~nt ApprlOval <br /> <br />BUILDING SIZE: '2S X s;-~, <br /> <br />/~ <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOY' PI..MlS & (2) SEI'S OF' BUfILDING PLMS & (1) SET ENERGY FORK.<). U <br />ATTACH (J) SETS OF' BlJfII.DlliIG PLMS & (1) SET ENERGY FORMS. H <br />-u'COPli'" OF' COInRACT' REQmRllD. <br /> <br />PERKITS REOUJESTED <br /> <br />. '* BUILDING <br />~ELECTRICAL <br />~HECHANICAL <br />~PLUMBING <br /> <br />$ :JJ ~ e>.O ValuatilOn lOf TlOtal Cons~ruct ilOn <br /> <br />J 51) MIP Service FllOrida Power Corp. <br />I~DtJ--- <br /> <br />~W.R.E.C. <br /> <br />s <br /> <br />ValuatilOn lOf Mechanical InstallatilOn <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: _BllOck. _FraJlJe _Steel <br /> <br />/b.N'. ~ <br /> <br />Other <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ~~? <br /> <br />*- <br /> <br />FIJITSHED FLOOR EI..EVATIO~S: <br /> <br />YES NO <br /> <br />~~~~~~~~~~~.*..**.**.*******.************* <br /> <br />OONlTRACTOR SECT'ION <br /> <br />8UII.DY.R ~ COKPANY ;.I..1t. JPTl::}t.~77t7C mt).#-;. ..z;::J..,c-. <br />~J~ State Cert. lOr Regist. #I <br />Signature ~ ~ City License RegistratilOn # ~G;;. <br />/ *********************************~******** <br /> <br />Si <br /> <br /> <br />mMPANY {}~"--' ~~ <br /> <br />State Cert. lOr Regist. I <br />~ City License RegistratilOn I ~&~~ <br />v****.****************~*.*~~*************** <br /> <br />PLUMBER OO'I'IPANY A/~ /2Y....,.,,,.,J <br />--/ State ~erL lOr Regist. #I: <br />Signature ;tI~~ City License RegistratilOn jf <br />**~********~*~**************************** <br /> <br />IOJ' <br /> <br />KECHAJITCA.I. ../ OO'!fPAn 8JJ AL(yJ;MJ //7? ,,/fC . ~~F'v'c; <br />^~ tJ-.if'~i:.j~ State C~rt. lOr Regist. , .. / <br />Signature j . "~ Ci1:.)" License RegistratilOn I 61::2' <br />****~~~****.~*~*******~****************** <br /> <br />0'T1IER <br /> <br />CD.'IfPMIIY <br />State Cert. lOr Regist. , <br />Ci~ ~icense Registration , <br />***************~~~****~*****************~* <br /> <br />Signature <br /> <br />APPLICATION. APPROVED BY <br /> <br />.,... <br />:~ <br /> <br />PERKIT OFFICER. <br /> <br />~.d ' <br />A, _.__~~~.."....,~.....,.,~~ <br /> <br />""",,'~,"'."-"'- '_~"""""'4"""-li_.,...."..",~..._...",,_.... <br />