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<br />"'~"''''"",~'-I'\,,>:,~:,,,,,,,..,,,~-~.....,,,,.,-.-. -- ",-~ <br /> <br />- "l;""--;r"'~">>~.'-_~O:-1'7~~"~""'."""',,,,,,,,,,,,''''''''~'' ._, <br /> <br />APPLICAnOR FOR PEBKIT <br />CITY OF ZEPBYRBILLS <br />BUILDIRG DEPARTHERT <br /> <br />OWRER'S IWIB C.I1Aftvl/t tV <br />OWRER'S ADDIIESS ,3 9~ d ~ <br />JOB ADDRESS .. ~?__ <br />LEGAL DESCRIPTIOR: LOT(S) <br /> <br />PHONE 7'6 8d)/ , <br /> <br />&,~ <br /> <br />BLOCIL--.SUBDIVISION <br /> <br />PARCEL LD.t <br /> <br />(OBTAl;N FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:->>ew Construction -.-.Addition ---..Alteration ~pair _Install <br /> _Sign --..Jlove ~lish <br />PROPOSED USE: ~gle P..tly --Yt/F _' of Units ~ <br /> _~rcial _lDdust. _Swia. Pool er <br /> <br />Restaurant &: Health Departaent Approval ~ <br /> <br />DESClIIPTIOR OP -,=reM tl J LiA-i fiA* 11~ I ~ iM.] .u~ <br /> <br />BUILDIRG SIZE: X. Square Feet. Height <br /> <br />~\~'P P (l ( <br />S V5"H:vV1 <br /> <br />RE5IDEI1TIAL: <br />COMKERCIAL : <br /> <br />ArrACH (2) PLOT PLANS &: (2) SETS OF BUILDIRG PLANS &: (1) SET ERERGY FORKS. <br />ArrACH (3) SB'l'S OF BUILDIRG PLANS &: (1) SET ERERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIOR. <br /> <br />~IRG <br /> <br />J PERMITS REQUESTED <br />$, ?d- 6 ().. c) Valuation of Total Construction <br />- <br /> <br />RT.RCDUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--..JIEClWlICAL <br /> <br />$ <br /> <br />-PLUllBIRG <br /> <br />GAS <br /> <br />_Val~f llecbanica1 Installation <br />~FING SPECIALTY <br /> <br />TYPE OF COBSTRUcnOR: ----.Bloclt _FraIIe _Steel <br /> <br />Other <br /> <br />PDIISIIED .FI.OOR ELEVAUOBS: <br /> <br />Fl. <br /> <br />IS PROJEct DI .FI.OOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECl'ION <br /> <br />BIITT.DRR <br /> <br /> <br />cotIPAIIY <br />State Cert. or Regist. t <br />City License Registration . <br />.......................................... <br /> <br />Sigoa <br /> <br />ij L/- 7. <br /> <br />RT.RC'l'RTCIAII <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />.......................................... <br /> <br />SiDnAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECllAlJICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br />J <br /> <br />Signature <br /> <br />OTRRR ~ ~ {COKPAIIY' -t.J <br />. 0 / State Cert. or gist. t <br />Signat~ h~ City License :Registration . <br />...........~............................ <br /> <br /> <br />APPLICAnOR APPROVED BY <br /> <br />PERHlT OFFICER. <br />