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<br />: <br /> <br />jJ-{.-7'(. <br /> <br />APPLICAnON FOR PERKlT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPARTllENT <br /> <br />OWNER'S ADDRESS <br /> <br />jI/, c u ; 2-01/1 <br />6:106 D)J8L <br /> <br />PHONE 70)- ')C{f L- <br /> <br />OWNER'S NAME <br /> <br />~ <br /> <br />;O~ /0(';- <br /> <br />JOB ADDRESS <br /> <br />.s- ~[ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL LD.' ____}- J-6' . '-/- 0/1--/1. c')c:i)::)0 G?/90 (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ~ition --..Alteration --.Jlepair _Install <br /> <br />/9 <br /> <br />B~SOBDIVISION SJbv~ ~f <br /> <br />_Sign <br /> <br />---1fove <br /> <br />~lish <br /> <br />_~rcial <br /> <br />----1t/F _' of Units ----1t/H <br />_Indust. _Swia. Pool ~ther ?#)io <br /> <br />PROPOSED USE: ~iDg1e Fsaily <br /> <br />--..Jlestaurant Ii: Health Departaent Approval <br />DESCRIPTIOII OP WORK: l/g-o ~uUc--L u/ ('C~f /~Y oj ~~~ <br />BUILDING SIZE: /J- x/r, Square Feet. rl Height <br /> <br />~IDEIITIAL: A'l'TACB (2) PLOT PLAIIS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET DIRGY FORMS. <br />COMMERCIAL: A'l'TACB (3) SETS OF BUILDING PLANS Ii: (1) SET DIRGY POBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$. <br /> <br />/)/0 <br /> <br />Valuation of Total Construction <br /> <br />RT.RCI'RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---YLutlBING <br /> <br />GAS <br /> <br />Valuation of Kecbanica1 Installation <br />ROOFING /(' '7L GJ SPECIALTY . <br />~raae _Steel $UYJ1' Other <br /> <br />-llEClWlICAL <br /> <br />$. <br /> <br />TYPE OF CONSTRUCTION: -Block <br /> <br />PIlIISBID PLOOB. ILIVAnOBS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE ARIA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br /> <br />,.. <br /> <br /> <br />.. <br /> <br />Signa <br /> <br />#t.A-n <br /> <br />State Cert. or Regist.' )C?JU.} <br />City License Registration . <br />.......................................... <br /> <br />cdKPAIIY <br /> <br /> <br />RT.RCTRTCIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SiDflAture <br /> <br />PLutlBER <br /> <br />Signature <br /> <br />COHPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />IlECllARI.CAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPL1CATIOR APPIIOYIlD BY ';1;:Z"" ~ m ="~ <br />\-J <br /> <br />PERKlT OFFICER. <br />