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<br />APPLICAnON FOR PERHIT <br />CITY OF ZEPIIYlUIILLS <br />BUILDING DEPAR'l'KENT <br />. <br /> <br />OWNER'S NAME fJLL~ U f)LL\ 0. <br />OWNER'S ADDRESS 51~o r <34!- S'lJu~ <br />JOB ADDRESS ~~ <br />JJ ') r DOlO ~ 0'7c;D7)~ O'2D 0 <br />LEGAL DESCRIPTION: LOT(S) - d-(p-91 BLOCIL--.SUBDIVISION <br />~ <br />PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Coastruction --^ddition /Alteration ---.Jlepair _Install <br /> <br />PHONE <br /> <br />'7 <6 2- ~ 30Q () <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />--->>eaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---.J{/F _' of Units ---.Jt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--Restaurant Ii: Health Departaent Approval, <br />DESCRIPTION OF WORK:jJtt+~ 150rr- ~V--A)\) cLt,L~J...--./ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORtIS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />-BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTlUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---'lEmABICAL <br /> <br />$ <br /> <br />Valuation of lIechanical Installation <br /> <br />.-PLUllBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE ()F CONSTRUCTION: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FDISIIED FLOOR ELEVAnONS: <br /> <br />Fl. <br /> <br />IS PROJEcr IN FLOOD ZORE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIITI.DRR <br /> <br />CONTRACTOR SECTION I , <br /> <br />CDlPAIIY rAA- "-"'- ~ ~IL;'---'~ ~ctL n-~ <br />State Cert. or Regi .. ('j'J · ?~ <br />:\'1 City License Registration t (:? Q..~ <br />................................... <br /> <br />COKPANYj(o 1 frJ7.r ~(l C. <br />State Cert. or Regist. . El106122 z ~ <br />City License Registration t z..:a i <br />......................................**** <br /> <br /> <br />Signature <br /> <br />PLDMRRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />................**..*..................... <br /> <br />Signature <br /> <br />1lECllANICAI. <br /> <br />COIIPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.................*...*................*... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />2Z. '. 1 <br />APPUCATIOB APPIlOVED BY 11:<u' ~ )Jj {1 ~.~ <br /> <br />PERHIT OFFICER. <br />