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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRIULLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S _ St!/J'J ';;;;e/! (;Jt1<///A//T ,/).,"0"') PllDNE y,J? -X 0 / / <br />OWNER t S ADDRESS <: J" 1)/ I / /71/ a 6- _ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.' <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROH PlWPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:____ew Construction ----Addition ----A1teration --Repair ...LInstall <br /> _Sign --IIove ---Peaolish <br />PROPOSED USE: ~ing1e Feaily -.Jt/F _' of Units -.Jt/H <br /> Yec-ercial _Indust. _Swill. Pool _Other <br /> <br />. ~estaurant Ii Health Departaent Approval <br /> <br />DESCRIPTION OF VORK:1J.L~-r4l.L <br /> <br />//stC. L?/JIJAlJAlb IlPP)/I7JV'/t" ~~/I.~rI.(T //o~.;:> <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />. <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITL\L: <br />COHtlERCIAL : <br /> <br />A'1'TACII (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SBT ENERGY FORMS. <br />A'1'TACII (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORHS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />---.JSUlLDlliG <br /> <br />$. <br /> <br />Valuation of Total Construction <br /> <br />RI.RCTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />V.R.B,C. <br /> <br />~CIIAlIICAL <br /> <br />$ //:'00,0-0 <br /> <br />Valuation of Ilecbanical Installation <br /> <br />.-PLUllBING GAS ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF mNsTRucnoR: ~loclt -.Jraae _Steel <br /> <br />Other <br /> <br />FI.lISBBD PI.OOB. ELBVAUORS: <br /> <br />Fl. <br /> <br />IS PROJECT iii FLOOD ZORB AIlEA'I <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br />.. . <br /> <br />BIJIIJ)ER <br /> <br />.,'. .... <br /> <br />. 'COtIPARY <br />State Cert. or Regist. . <br />- .. City License Registration . <br />.......................................... <br /> <br />" " <br /> <br />Sigoature <br /> <br />RI.RCTRICIAII <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />SlanAture <br /> <br />PLUMBRR <br /> <br />COIIPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECIWUCALt2 112 . COMPANY t- . '.- <br />.~ State Cert. or aegist. . <br />Sigoature ~ City License Registration . <br />.......................................... <br /> <br /> <br />OTRRR <br /> <br />COKPARY <br />State Cert. or Regist, . <br />City Liceose Registration . <br />.......................................... <br /> <br />Sigoature <br /> <br />APPLICAU()R APPIlOVEDBY <br /> <br />PBBHlT OFFICER, <br />