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<br />APPLICAfiON FOR PBlUlIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPAR'l'HBRT <br /> <br />OWNER' S R.AHB <br /> <br />D)' 0 t-1 ~ f-) itA? RA (';L/ <br />C) ( ~/ !) (J n 1- 0 <br /> <br />PBOIIE )yV~ r~O ~ <br />~/, ?j?f(-{ r:::-!q \ <br /> <br />OWNER' S ADDBBSS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPrION: LOT(S) <br /> <br />BLOCIL-SUBDIVISION <br /> <br />PARCEL I.D.t <br /> <br />(OBTAIN FROH PKOPERTY TAX NOTICE) <br /> <br />WORK PKOPOSED:..-Rew COnstruction --Addition ---oAlteration ---Repair _Install <br /> <br />_Sign <br /> <br />----'love <br /> <br />~lish <br /> <br />_ec-ercial <br /> <br />----1t/F _' of Units ----1t/B <br />_Iodust. ~SWia. Pool _Other <br /> <br />PROPOSED USE: ~ing1e Faaily <br /> <br />---Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEI1TIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET DBRGY FOiMS. <br />ATTACH (3) SE'lS OF BUILDING PLANS &: (1) SET EBERGY FOBHS. <br />PKOPERTY SURVEY IlEQUIRED FOR ALL NEW COBSTRUCTION.' <br /> <br />?UILDING <br />~CD.ICAL <br />---"EClWlICAL <br />..-PLUHBIliG <br /> <br />$ <br /> <br />PERKITS REQUESTED <br />O OU <br />) 0< D' \ Valuation of Total Construction <br />. <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Hechanica1 Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OOIISTB.UCTION: ----Jloclt _Fraae _Steel <br /> <br />Other <br /> <br />FIIIISIIED FLOOJl ELBVAfiOBS: <br /> <br />Fl. <br /> <br />IS PROJECT IIi FLOOD ZONE AREA' <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />(; <br />:::: J~~ dh@; <br /> <br />CONTRACTOR SECTION' <br /> <br />COMPABY <br />State Cert. or Reaist. t <br />City License Registration t <br />.......................................... <br /> <br />:.:: ~~ COHPABY <br />State Cert. or Regist. t <br />. . ,"V' 1>< ';.. City Liceose lleautration. <br />.......................................... <br /> <br /> <br />PLUHBER COHPABY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />IlEClL\RICAL COHPABY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COHPABY <br />State Cert. or Regist.' <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPKOVED BY PBlUlIT OFFIC~. <br />