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<br />APPLICATION FOR pEltKlT <br />CITY OF ZEPBYRJIl.LL5 <br />BUILDING DEPAR'l'KEN'I <br /> <br />JOB ADDRESS <br />LEGAL DESC1UPTIOB: wr(S) <br />- ;;2.6- <br />PARCEL l.D.' <br />1lI eonstruction <br />WORK PROpOSED:~~ew <br /> <br />!': W _ P r-'p-vJ <br />t' Pi t2 t( ! ! :8 <t) s-1-- <br />I; <br />Al-'~ <? <br /> <br />PHONE <br /> <br />7B&-S-CJ9i <br /> <br />OWNER'S ~ <br />oWNER'S ADDltESS <br /> <br />LOCIL----SUBDIV1SION <br />B ;;..;<00- 6 () g c) <br />_t9CJIO--t) <br /> <br /> <br />~ddition ---1alteration <br /> <br />Repair <br />- <br /> <br />InStall <br />- <br /> <br />_Sign. <br /> <br />---,,<>ve <br /> <br />Deaolish <br />- <br /> <br />DESCRIP'rI.OR OF WORK: <br /> <br />~ercia1 <br />- <br /> <br />.-J.estaurant &: Health Departaent Approval r:-- <br /> <br />~~ -:C:r~~ ~F ~ (ifN <br /> <br />Indus t. <br />- <br /> <br />. of Units <br />- <br /> <br />swia. pool <br />- <br /> <br />KIH <br />- <br /> <br />PROpOSED USE: <br /> <br />Single Fsaily <br />- <br /> <br />~/F <br /> <br />Other <br />- ' <br /> <br />AIC- <br /> <br />BUILDIRG SIZE: <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />X <br /> <br />A'1"lACB (2) PLOT I'LANS Ii: (2) SETS OF BUILDING PLARS &: (1) SET ENERGY FORMS. <br />A'1"lACB (3) SETS OF BUILDING PLABS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDIRG <br /> <br />$ <br /> <br />Va1uation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service F10rida Power Corp. <br />, ? ~ ~ S:.d-D Va1uation of Kecbanica1 Installation <br /> <br />W.R.E.C. <br /> <br />---1IECBARICAL <br /> <br />_PLUHBDfG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COBSTRUcnOB: _B1oclt _Fnae _Steel <br /> <br />Other <br /> <br />FIBISBED FLOOR ELBVAfiOBS: <br /> <br />Fr. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />................................ ......... <br /> <br />yv/e <br /> <br />RIITI.Dn <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />amAHY ;< 1"-' ~ C -9""l J <br /> <br />State Cert. or Re st.' 6/C)S~ /::< <br />City License Registration . '/ / <br />......................................... . <br /> <br />PLlIMRRR <br /> <br />Signature <br /> <br />HECHAtITCAL <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />OTRRR <br /> <br />'--_/ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />