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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYlUIILLS <br />BUILDING DEPARTKENT <br /> <br />'. <br /> <br />OWNER'S ~\~~\~- <br /> <br />OWNER'S ADDRESS ~J S 2~ <br />L.o~~ \- <br /> <br />JOB ADDRESS <br /> <br />C'~(\ <br />S\ '-~~ <br />S~ <br /> <br />, <br /> <br />~ <br /> <br />PHONi~\~)(~~ -=1:S0~ <br />/~'U~\\.~ ~L <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:---.Jiew Construction ----Addition ~teration ---Repair _Insta1l <br /> <br />_Sign <br /> <br />---Ifove <br /> <br />->>eaolish <br /> <br />_ec-ercial <br /> <br />--.Jt/F _' of Units ----1!/B <br />X-Indust. _Swia. Pool _O~er <br /> <br />PROPOSED USE: ~ing1e F_il.y <br /> <br />. ----..Restaurant ~ OP;:-=lt App~s1 <br /> <br />DESCRIPTION OF WORlt: bo-\D C'{\l~ ~ S 1\\ <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />6..\).cL <br /> <br />J, <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COltKERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS.. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-BUILDING <br /> <br />$. <br /> <br />PERMITS REOtJ&C)TED <br />Va1uation of Total Construction <br /> <br />I. <br /> <br />RT.RCTBI.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IEClWlICAL <br /> <br />$. <br /> <br />Va1uation of lIecbanica1 Installation <br /> <br />---..PLUllBING GAS ROOFJ.NG <br /> <br />SPECIALTY . <br /> <br />TYPE OF mRsTRucnoN: ----B1ock -"r_e _Steel <br /> <br />Other <br /> <br />FI.RISBED FLOOB. ELEVAnOI1S: <br /> <br />Fl. <br /> <br />IS PROJECT l.B FLOOD ZONE AREA' <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />lDlTIlA~ ~ ..~.. <br />'.mllPANY ,me <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />,., <br /> <br />RIITU)ER <br /> <br />L/7 <br /> <br />.,. ::~~ COMPANY ~f\~.;:::) <br />/' j ~~!2 State Cert. or Regist.' t=-IICJ. <br />ur .. U / /6i0"7 City License Registration' '1' <br />. ... ..................................... <br /> <br />"i. <br /> <br />PLUllBER. cotIPABY Lo~O:> ~~ <br />(-3 ~ ~ .. State CUt. or Be8ist. . <br />Signature ~ _ ~ City License Registration . <br />... . .................................. . <br /> <br />I~~ <br /> <br />IlEClWU.CAL COIIPANY <br />State Cert. or Reaist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Reaist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAUOI APPBOYBD BY PDllIT OFFICER. <br />