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<br />. .....'., re -7~-. <br />'f.KP<t:fD'~~{, . . <br />BUILDIBG DEPARTHBRT " <br />" 'f ~ <br />a's _13~. V:C~~Il-~~~~ ~~~~;:~;~~. <br />R'S ADDBBSSI96~1 'Bill ~ {) /. 3~ <br />ADDRESS Len- 21 .fJ-n-.'.B2 O\k:s plAS~ L.; fdl3~e:) tAu~0a01)hVb' ' <br />Z -; BLOCK - SUBD:lVIS:lO&~:.e L),4J::S PflAs6 We:) <br /> <br />APPLICAnON FOR PElU[[T <br />CITY OF ZEPIIDIULLS <br /> <br />L DBSCRIPrI.ON: wr(s) <br /> <br />. '. '0\. . f' ~',~ ,'. ....' <br /> <br />BL I.D.' 03- 2~-:U -0/20 -nCnOQ -o7J1n (OBTAIN FROM PROPERTY TAX NonClU <br />PROPOSBD:~ew Construction ----Addition -J\!teratioD. ---Repair T~.tall <br /> <br />_Sip <br /> <br />--IIove <br /> <br />--Peaolish <br /> <br />_ec-ercial <br /> <br />~/<<:~~~ -JUB <br /> <br />_Iodust. _Swia. Pool ,_Other <br /> <br />tJSED USE: -BiD&1e Feally <br /> <br />Restaurant & Jlea1th Departaent Approval <br /> <br />lUPT1.0N OF WOK: ~ r....JA../.J-.--r WU-A c:; <br />0\HC!At..L. j efC# uN rr . / J:,G.s-e- , . , ' ';, ';' <br />I)IBG SIZE: 3~, / to c::: I Square Feet, 6 Reiaht <br />/b 'fflfoVf.~a:..". .'. ' <br />~EIITIAL: ATrACII\(2) PLOT PLANS &'-<2) SETS OF BUILDIBG PLANS & \.(1) SET BDRGl' POlUIS. <br />DlCIAL: ArlACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FOBltS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />IUILDIBG <br /> <br />PERMITS REQUESTED <br />$. ~. LY?O €:A. utJ rrValuatioll of Total Construction ' <br />{ s-o AMP Service \... F10rida Power Corp. <br />$. 'J ~ (1D (;.~ - uJJ II Valuation of lIecbanica1 InstallatioD. <br /> <br />.r;::,' ' <br /> <br />. ' <br />, ~' j 1, "'. f <br /> <br />a.scrJUCAL <br /> <br />W.R.B.C. <br /> <br />lBCIL\lIJ.CAL <br /> <br />'LUKBUG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />OF coRsmucnoR: .-K' Block -Jraae _Steel <br />'. <br /> <br />Other. ' <br /> <br />YES <br /> <br />'~ <br /> <br />BED FLOOR. ELBVATIOBS: <br /> <br />Fl. <br /> <br />. IS PROJECT U FLOOD ZORB AREA! . <br /> <br />.......................................... <br /> <br />ture <br /> <br /> <br />CONTRACTOR SECTION' <br /> <br />/ MY "'BA\j tk~,,~ R( )l1-.Dfi.2S ; r>J 'c- <br />State Cert. 'or !legist. . (' (.;.c o~'^ z.:e (9 . <br />City License Registration . ~ <br />. ................................... <br /> <br />BB <br /> <br />~CIMi COHPANY 5' ~.5 I? / t!! c.- r ~ '. <br />r:-7 .~ State Cert. or Regist. . ~/(~ 2/fu..,',$- <br />ture l/.o~~ ~ ~ City License RegistratioD.'. 7- Y ~- <br />~ . ....................................... ' " <br /> <br />KI.. ~ . ~ /. ,-/~_ .' ~1onc!!=:.,.V;~ /f3;~i1, <br /> <br />tur~~T~1"'~_ ~i.ty License Registration' /..s--..s- . <br />.......................................... <br /> <br />~~ COIIPANY .R.c'. Ale., '&,: lPG. <br />State Cert. or Regist. . <br />'" · #. . ., .'~ Cit;y Liceuse Ilqiatration . <br />.......................................... <br /> <br /> <br />COtIPANY <br />State. Cert. or !legist.' <br />City Lie... llegistration . <br />.......................................... <br /> <br />, , <br /> <br />~ure <br /> <br />:Ano. APPBOVBD BY <br /> <br />PBRHIT OPfiCER. <br />