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<br />APPLICATION FOR PERlIlT <br />CITY OF ZEPIIDIIILLS <br />BUILDING DEPARTHENT , <br />, " ~ <br />la's _13A!f V~uA~~tl>~~:~~ ~~~)~~t~ . <br />liER'S ADDuss/96S'1 Bill ~ "D. 1. 3,bJ? <br />B ADDRESS Len- 21 cLJ-n-t62 O\k:s p/ASe i.; fdl3~e) LAu~oQD J)R1//b" <br />Z -; B~UBDIVlSION~u~.eL)AtS PHAs6 DJ6 <br /> <br />. p,.Gft< re I -7~-' <br />~g"1f $D' ',~~V . <br /> <br />tJAL DESCll1P'1'10N: LOT(S) <br /> <br />....., 'p ;. <br /> <br />RCEL I.D.' 03- L~ -1-1 - 0 I 20 -nc("}O() ..... 07 J1 n (OBTAIN FROM PROPERTY TAX NOTICE) <br />lUt PRoPOSED:~ew Construction ---..Addition --..Alteration ---Repair TnAtall <br /> <br />_Si8n <br /> <br />---.JIove <br /> <br />--Peaolish <br /> <br />_ec-ercial <br /> <br />~~i!~..~. -JtIn <br /> <br />_lDdust. _Swia. Pool ,_Other <br /> <br />[)POSED USE: ~iD&1e Faai17 <br /> <br />--.:Restaurant &: Jlea1th Departaent Approval <br /> <br />SCRIPTION OF WOlUt~ ~ 0A.1L-r th::L.t-A ~ <br />',cMRALL.; ef.'C#l1I\Jrr L a/~ '. ' ",' . <br />llJ)ING SIZB:3~, /Ioc: Square Feet'/~b'lIoJ~~t, ,', <br /> <br />)1DEI1TIAL: ATrACB'v(2) PLOT PLANS &:\.c2) SETS OF BUILDING PLANS Ii: \'(1) SET BI1BRGI FmUssI: . <br />mERCIAL: ATlACB (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FOBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UlLDlKG <br />::.JLE~CAL <br />LJlECIIAlUCAL <br /> <br />PERMITS REOUESTED <br />$. ~0?9 EA.utJ iTValuation of Total CoDStructi~ ' <br />I s-o AIIP Service blorida Power Corp. <br />$. 'J q (1D ~~ - LJJ....l ,.. VaJ.uation of lIec:hanic:a1 Installation <br /> <br />;':..' " <br /> <br />, :';1, ".i <br /> <br />WIKIB.C. <br /> <br />:!...,PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />~B OP CORS.;nwcnOB: .-K Rloclt _Praae _Steel <br /> <br />Other '. <br /> <br />YES <br /> <br />'~ <br /> <br />IISBBD FI.OOR BLBVATIORS: <br /> <br />FT. <br /> <br />IS PllOJEC1' IB FLOOD ZOBB AREA., . <br /> <br />.......................................... <br /> <br />J.DIB <br /> <br /> <br />CONTRACTOR SECTIOB' <br /> <br />, MY -r5A\J tkL~~? Ru/t...JY;-12S I L>J C <br />. 1 ~ State Cert. 'or Regist. . (' (.;.c o'3-lr. Z:6 Q . <br />- .D~ City License Registration . ~ <br />. ................................... <br /> <br />~ture <br /> <br />tCTRICIAR COKPABY Sf/. 5 F /~ c.- r ~ ' <br />,..;7 .~ . State Cert. or Regist. . ~~ t:JMf>I? 2 d 4"..f- <br />!IUlture / ~.A'~ ~ ~ City Liceose Registration'. 'Z 'T ;- <br />. ~, . ....................................... . " <br /> <br />11IIII. ~ . , =:rc!(=.V;=;.1!L~Y. <br /> <br />:oatur~~/~~..- ~U:y Liceose Registration t /.s-s- <br />***...*.*.*.................*............. <br /> <br />::~~ ~~~~~~1/: <br /> <br /> <br />.......................................... <br /> <br /> <br />a COItPABY <br />State' Cert. or Regist. . <br />~ture City License Registration . <br />.......................................... <br /> <br />IJ.ICAnOB APPBOVBD BY PBBH1T OFnCD. <br />