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<br />APPLICAfiON FOR PBRKIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPAR'l'KERT <br /> <br />OWNER. · S RAHB. fl hit l'~ 1"'? /j- r;r ; e /i~ -r t. J I' I' PHON~ '111)- 7 c:p 3- rp''} "j) I . <br />OWREll'S ADDRESS -; q fA <( ~~ /;;//;3 Z f,/'Ayr H J 21..[;' <br /> <br />JOB ADDRESS <br /> <br />5>> M [ <br /> <br />LEGAL DESCRIP'llON: LOT(S) t..J B~SUBDIVISION 2;;~hyr HtfC>'- <br />PARCEL I.D.# r)..- ;).. C. - 2./ - 00 qO - ot1 J-dO -' 00 Lf" (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ----^ddition ----..Alteration --Jlepair _Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_ec-ercial <br /> <br />----"IF _, of Units ---1l/H <br />_Indust. ---X-Swia. Pool _Other <br /> <br />--Jlestaurant i: Health Depart:aent Approval <br />DESCRIP'llON OF WORK: -;'p7T/?-l.-C. Tol' O'f GrelvtVd 'i1A/;'1I1 flt7{7/., <br /> <br />;1. /,1 ,f ~v- ~J <br /> <br />BUlLDIRG SIZE: <br /> <br />~,z/ ST. (!.H J-(,( <br />F" ,C'JIJ~ <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />ArlACH (3) SETS OF BU1LDIRG PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDERTIAL: <br />COMMERCIAL : <br /> <br />D <br />CZ 5()~ ~ <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDIRG <br />t1lI1-ELEc:rnCAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---llECHAlIICAL <br /> <br />$ <br /> <br />Valuation of lIechanica1 Installation <br /> <br />_PLUMBIRG GAS ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF mllsTRucnoll: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FDIISHED FlOOR ELEVAnORS: <br /> <br />Fl. <br /> <br />IS PROJEct IR FLOOD ZONE AREA? <br /> <br />v" <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />BITTI.DER -0I6YJ1U-~ COIIPABY <br />~' , ~... State Cert. or . <br />Signature ,/ Ik/ <~ City egistration , <br />...... .................................. <br /> <br /> <br /> <br />RI.RCTRICIAR COMPABY <br />State Cert. or Regist. # <br />SionAture City License Registration' <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />.......................................... <br /> <br />IlECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration f <br />.......................................... <br /> <br />OTIIRR COMPABY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICAfiOR APPROVED BY PBRKIT OFFICER. <br />