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<br />APPLICATION FOR PEBltIT <br />CITY OF ZEPIIYlUIILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME R on Gr~n v\ '3 <br />OIlIIER'S ADIIIUlSS :: 02-& @-c, \1 ~ ~ <br />JOB ADDRESS -5 D 2.(P aer II fb I v . <br /> <br />PHONE <br /> <br />'I' 'i? 2- <br /> <br />~zA1 <br /> <br />LEGAL DESClUPTI.ON: LOT(S) <br /> <br />.... <br /> <br />BLOcx2n<2? SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />II <br /> <br />Z& <br /> <br />Vl <br /> <br />(OBTAIN FROM. PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-2C...New Construction ---..Addition --^lteration ______epair____Install <br /> <br />-.::LSign <br /> <br />--1Iove <br /> <br />-Peaolish <br /> <br />PROPOSED USE: ~ing1e F_Uy <br />~ec-erCial <br /> <br />---.Jf/F _' of Units ---.Jf/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />______estaurant Ii Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />rn~C?1'1 <br /> <br />r (p ..s.lt'" <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />.' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />COHHERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RT.RC'l'RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-.JIECllANICAL <br /> <br />$ <br /> <br />Valuation of lIechanica1 InStallation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF coRsnucnoN: -..:slock _Fralle _Steel <br /> <br />Other <br /> <br />FIRISBED FLOOR ELEVAnOBS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA., <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUTIJUm <br /> <br />cotIPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br /> <br />, <br />'~ ,".. "'.... <br />NlCu;.;, ""::" :\.~ <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />................................... <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License .Registration . <br />.............................~........***. <br /> <br />Signature <br /> <br />IlECBARICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />