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<br />APPLICAnON FOR PERIIIT <br />CITY OF ZEPBYIUIlLLS <br />BUILDING DEPARTHEIIT <br /> <br />OWRER'S lWIB - C \ -\-~ c ~ L - ~I 1 \ <; PBONE'7e)~?> <br />OWBER'S ADDDSS '6 33S ~ S*-. Z~Dhl..fOhlil<:, <br />JOB ADDRESS J; 33S p>t~ Sf- - 7~ ~~ II h \ lh--> ~ {. <br /> <br />(obi / <br />. <br /> <br />LEGAL DESClUP'l'IOII: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t (OBTAIN FROM. PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction --.-.Addition V Alteration --Repair _Install <br /> <br />.--Sign <br /> <br />--.-JIove <br /> <br />~lish <br /> <br />PROPOSED WE: _S~e F_i~ <br />./" ec-ercial <br /> <br />--.Jt/F _' of Units ~/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---..Restaurant & Health Departaent Approval <br />DESCRIPTIOII OF WORlt:~ ~ Iv-) t)Q..~ - Rc' \2Cof' - e\~ck Jc...A ( <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RlmIDEIITIAL: ATrAaI (2) PLOT PLANS & (2) SETS OF BUILDIIIG PLANS & (1) SET DERGY FORMS. <br />COMKERCIAL: ATTAaI (3) SETS OF BUILDING PLANS & (1) SET DERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />~UILDING <br />l./'Rr.RCTRICAL <br />~CAL <br /> <br />PERMITS REQUESTED <br /> <br />C/ <br /> <br />$%12e,O--, <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$. ':>"3. SSOo~ <br /> <br />/ <br /> <br />Valuation of tlecbanica1 Installation <br /> <br />---.-.PLutmDlG <br /> <br />GAS <br /> <br />ROOFDfG <br />_Fraae 0teel <br /> <br />Other <br /> <br />SPECIALTY <br /> <br />TYPE 9F COBSTRucrIOII: _Bloclt <br /> <br />FDIISIIBD FI.OOll ELEVAfiOIlS: <br /> <br />Fr. <br /> <br />IS PltOJEcr IN FLOOD ZONE AREA' ~ <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RDTI.bllR ___~ OllOIPAllYK YI"''';~ CG'N:;'~' 0':; <br />~ State Cert. or Regist. tC~C--O~5t~4- <br />Signatur. - City License Registration' a~ <br />.. ...................................... <br /> <br />:=.=<.,. ( ~<---~_ =:U~:~~~~iS~\~~~13~~~ <br /> <br />____'--_ 2:1 -"'= ~ City License Registration.' :'1' \ <br />.......................................... <br /> <br />PLUMBER <br /> <br />~JA-- <br />I <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.....................*............*...*... <br /> <br />Signature <br /> <br />~CAL L <br />Signature <br />/ <br /> <br />&L COKPANY~0TH,zt?1---.. CGP1/l_+b~1 <br />State Cert. or Regist.' ~ 114 001 ~ L L <br />- City License Registration f //0 <br />.................*.....................*.. <br /> <br />E~0 <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />......................................*... <br /> <br />APPLICAnON APP1lOVED BY PElUIIT OFFICER. <br />