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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPIIIlUIILLS <br />BUILDING DEPAR'l'HENT <br /> <br />~ <br />j...,oT 10 <br /> <br />OWNER'S - ~ ~ ~~ POORE <br /> <br />OWNER'S ADDRESS /9 h5/ &./ll""(J.. /<, . . ~ -rAN1PA <br />JOB ADDRESS ~d.1 '-r ~ t9-oAt J)~ <br />PJ.1I5e 0 ~'&A' /.)0 j}. <br />LEGAL DESClUP'lION: LDT(S) 10 BLDCK.3. SUBDIVISION ~~ ~ <br /> <br />PARCEL I.D.' () s-;).b-;;</ - 0/;),fJ -cr;rxxJ- 0100 (OBTAIN FROM PROPERTY T~ NOTICE) <br /> <br />c:y:j 1- '8 ,.I. <br />F.LtJ L <br /> <br />WORK PROPOSED: X New Construction ----^ddition ----Alteration ---.Jlepair _Install <br /> _Sign ---1Iove ---Peaolish <br />PROPOSED USE: )( Single Faaily ---1I/F _' of Units. ---1I/B <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />-.Jlestaurant &: Health Departaent Approval <br /> <br />DESCRIPTIOR OF 1iOJU(: ~ 5?~& ~ <br /> <br />BUILDING SIZE: X Square Feet, Height ~ ~ ~ <br /> <br />RESIDENTIAL: ATtACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />X BUILDING <br />X RI.RCIRIcAL <br /> <br />L..,mCIIANICAL <br />La~~G <br /> <br />$ ~~~-, <br /> <br />/t>CJ <br />. ::d ~ -;. AHP Service <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br />X Florida Power Corp. <br /> <br />., <br /> <br />W.R.E.C. <br /> <br />$ OJ, ?OO <br /> <br />Valuation of tlechanica1 Installation <br /> <br />GAS <br /> <br />~ ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTB.UcnON: hlock _Fraae _Steel <br /> <br />Other <br /> <br />YES <br /> <br />L Z~JJ e <br />NO ~ C" <br /> <br />FI1IISBED FLOOR ELEVAnOIfS: <br /> <br />FT. <br /> <br />IS PROJECT I1i FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />- CONTRACTOR SECTION' <br /> <br />BurT.DER COHPANY ~ ~, . ~(J~ <br />~ff ~ State Ceii:- r Regist t c.r.::r3~~ <br />Signature . LA City License Registration . . <br />.. ..................................... <br /> <br />RI.RCTRICIAR COMPANY ,,"-5 ~/bc.../- ~ ~c- <br />'J2.AA~ State Cert. or Regist. f E'/2.c:Jz::;1O:2-0 t:,/J- <br />SilnlAture _ . ~ . City License Registration'. .2.-. ~ ~- <br />.......................................... <br /> <br />PLUMBER COMPANY .i/tVYWlJYJ Y-~' tfiZ~ JLY <br />~ ~~~te Cert. or Reaist. t tPF4::J3~{/ - <br />Sigoat ~ y License Registration f /...s ~ <br />- . ....................................... <br /> <br />~J 7 COIIPARY ICc-IIk C-o'!'Pc. <br />State Cert. or Regist. . z.. V <br />Sigoat ~~ City License Registration' <br />.......................................... <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />.......................................... <br /> <br /> <br />APPLICArIo1~~BY1:~~_~~. <br />