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<br />/~ - {, - yy <br /> <br />APPLICAnOB FOR PBRKlT <br />CITY OF ZEPIIYIUIILLS <br />BUILDING DBPARl1IEHT <br /> <br />OWNER'S <br /> <br /> <br />770-07;0 <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIP'llOB: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.B.' -X -;;ll, -.7-( - 00 2P:,-PP"it1thOCVO (0111611I PRflM EIlIIlIlJTY )"AX IIllIIliIl <br />WORK PROPOSED:~ew Construction ---..Addition ---Alteration ---Repair _Install <br /> <br /> _Sign ~ve -Deaolish <br />PROPOSED USE: ~le PaUly --.Jt/F _' of Units --.Jt/B <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />Jleataurant . IIea1th Bepertolent Approva1 ~ ~ , , J \ <br /> <br />DESCIUPTIOR OF WORK: Sc."'eeh RooM lMl\5 L~/5ftl1<j W-r:5h)y <br /> <br />BUILDING SIZE: 3D X / t:?, -300 Square Feet, ~ I Height <br /> <br />RESIDEIITIAL: ATrACR (2) PLOT PLAliS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATrACB (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />$ <br /> <br />/3"::' 110 <br />I .50 '- <br /> <br />f <br /> <br />PERMITS REQUESTED <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTBI.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---"BClWlICAL <br /> <br />$ <br /> <br />Valuation of lIecbanica1 Installation <br /> <br />-PLUHBIRG GAS ROOFIRG <br /> <br />SPECIALTY . <br /> <br />TYPE OF CORSTRUcnOR: -B1oclt ----Yraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJEC'I' IB FLOOD ZORE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />RUTT DRR <br /> <br />CORTRACTOR SECTION <br /> <br />.. . .. ~k t /tL' <br />~ .... ',. . 'CliIlPAIIY _ \..- ~ UN)) '11.1"1 <br />-;J~ State Cert. or Regist.' CBC-D.::l.~D1'" <br />City License Registration . ;2~t1' <br />.......................................... <br /> <br />Sisoature <br /> <br />RT.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Si-ture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. .. <br />City License Registration . <br />.......................................... <br /> <br />Sisoature <br /> <br />IIBCBANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <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 />APPLICAnOR APPROVED BY <br /> <br />PBlUIlT OFFICER. <br />