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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRlflLLS <br />BUILDl.NG DEPARlIIENT <br /> <br />". /' ~" <br />~p/~~1 <br /> <br />PHONE 78~. 730& <br /> <br /> <br />. --. <br /> <br />OWNER · S HAIlE <br /> <br />11/ c 1/1I-1 ( r P . Co lR1fi//~ <br />'3 75;>-<g :37~O -5Cf <br />6)../0 Fb~ Kf,uA ~lJ <br /> <br />OWNER' S ADDIlESS <br /> <br />JOB ADDRESS <br /> <br />--..Restaurant. &: Health Deparl:8ent. Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />. <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: AlTACH (2) PlOT PLARS &: (2) SlITS OF BUILDING PLANS &: (1) SET ENERGY FORHS. <br />cotItIERCIAL: ATrAaJ. (3) SETS OF BUIIJJING PLANS &: (1) SET ENERGY FORHS. <br />PROPERTY SURVEY RltQUlRIID FOR ALL IiIRV CONSTRUcnON. <br /> <br />PERtlITS BlWUESTED <br /> <br />\./" BUIIJJING <br />V <br />_ELECIlUCAL <br /> <br />~CIIAIIlCAL <br />V <br />_PLlftBING <br /> <br />$ <br /> <br />16 I 6d () <br />I <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Hechanica1 Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSIKUCI'lON: --.-JUock ---Fr8lle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACIOR SECIION <br /> <br />BUIWER . cottPAIII' 0- 8 . J:.1 c;<,U.6 <br />-::-/ R1 ~/ ~ State Cert.. or Regist..' 00 f2..:33.s-' <br />Signature (X ~/D . {//f ~ City License Registration , ~7 <br />-'........................................ <br /> <br />Sil!!luature <br /> <br />8n <br /> <br />. ~~Y~1tf1~8~. <br /> <br />M~ ' ' . t.e Cert. or Regist. , <br />~ ~ . []I' License Registrat.ion , If J <br />.......................................... <br /> <br />F.1.F.CIlUCI.AII <br /> <br />PLUHBER cotI.PARY L A M~ \-\ Ajf t.J . r:~~~ ~ <br />c5 ~ ~ State Cert. or ....- st. . _ f" 10 . 0- -- <br />Si8D8t.u.re ('lj..:J ) oF ~ Cit.y License Regist.rat.ion . t ;).." <br />~ .... .................................~-- <br /> <br />~~. <DIPAIIY rid. ~ <br />~ State Cert. or Regist. . 10 U~ <br />e ---I 0. ~:tZ Cit.y License Registration , <br />f .... .................................... <br /> <br />arJIF.R, <br /> <br />~'UftPANI <br />Stat.e Cert.. or ilegist.' , <br />Cit.y License Regist.ration . <br />.......................................... <br /> <br />Sigoat.w:e <br /> <br />APPLICATION APPROVED BY <br /> <br />Yl rItt- J11 M-~ <br /> <br />PERII1T OFFICER. <br />