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<br />APPLICAfiON l"OR PERMIT <br />CITY OF ZEPIIYlUIILLS <br />BUILDING DEPARTKENT <br /> <br />OWER'S NME _s:.,v'I',vt.e.-r <br /> <br />OWRER'S ADDRESS <br /> <br />~SO'7 <br />t?05/ <br /> <br />,bI, I.. l- <br />f:? '<.S T7 c <br /> <br />t3'-"I I-I)~ r.J <br /> <br />/PI" L <br /> <br />PHONE <br /> <br />7i2- 7. 7.0 <br />LW72 I h"d- .33SJL9 <br />, <br /> <br />SI.UYJ M. -t! r /.JUL ]) r /I,/r' Z e/ I~/ A I !!,J Ii 4 <br />, / <br />LEGAL DESCRIPTION: LOT(S) 15 BLOClt.--SUBDIVISION ST1?Mer J./" '- <br /> <br />PARCEL I.D.' /;;2 - CJ-fo ~c:L I - #f/t-11(OBTAIN FROM PROPERTY TAX NOTICE} <br />, <br /> <br />WORK PROposED:hew Construction ----Addition --J\1teration ---.-..Repair _Install <br /> <br />o J4...1c.S' 1)r / t/...f <br /> <br />JOB ADDRESS <br /> <br />_Sign <br /> <br />---Kove <br /> <br />---Peaolish <br /> <br />PROPOSED USE: LSiogle Faaily <br /> <br />--Yt/F _' of Units --Yt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTlOR OF WORK: <br /> <br />---.-..Restaurant Ii: Health Departaent Approval <br />;V&J ~ ~1Y~-n,J <br /> <br />BUILDING SIZE: 52 X foo, 2403 Square Feet, 12> Height /57lflC.Y <br />I <br /> <br />RESIDEIITL\L: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET EHERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />If'~~~t) PERKITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />V RT.~cnu.CAL <br /> <br />I Qj AIIP Service <br />"r <br />lJ7/)~~ - <br /> <br />Valuation of Total Construction <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CIIAlIICAL <br /> <br />$ <br /> <br />Va1uation of !lechanical Installation <br /> <br />.lC....PLUflBING <br /> <br />GAS <br /> <br />)( ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OORSTRUC'rIOR: ~loclr. ~Fraae _Steel Other <br /> <br />FIllISBED FLOOll ELEVAnORS: I (J B " . 1.5 PROJECl IN FLOOD ZONE AREA' ..,2(. <br />YES NO <br /> <br />.......................................... <br /> <br />BIJIT.Dm <br /> <br /> <br />CONTRACTOR SECTION' . <br /> <br />mtlPARY ~~r -;./11 <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />&, /j~ <br />CG<!. 016'117 <br /> <br />COIIPARY.s~/ ~~" ~ <br /> <br />State Cert. or Regist. . j;'K 75" <br />City License Registration'. .:::266 <br />. ... ................................... <br /> <br />PLUMBER .' COMPANY (' <br />J,/J/~.. ~. ~ J/ (J . State Cert. or Regist. f r:::- <br />Signature ~./ )t". ~ City License Registration . <br />v .......................................... <br />IlECBANI~ ~J /;/' 1/ COMPANY :3~trl e tJ,;~. CC) <br />SiaAature ~~ ~1 ~~;e L=';" o~~~~ . III <br />.......................................... ' <br /> <br /> <br />~ <br />Siguature <br /> <br /> <br />COHPARY _~-.f:il! ;BLh <br /> <br />State Cert. or Regist. . C6C 0/09/7 <br />City License Registration . <br />.......................................... <br /> <br />!Jl /) <br />/9-& ~'L -r <br />\J <br /> <br />APPLICAfiOR APPROVED BY <br /> <br />r; dA~l <br />\J <br /> <br />PBRHIT OFFICER. <br />