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<br />~. ~,"",v '" "~' '<.~".-:m..'~ "''''''''J' """"I1lJ'!'(,', "",,-~~.,,~,-,,'(.. <br /> <br />APPLICATION FOR PDKIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPAR'l'KENT <br /> <br />OWNER'S IWm fllM teVI:U:'i (JKJ./20IyN Krr.r /i~~S ~J.-C PHONE ') f3 - I r'J 3 S- <br />OWlIER'S ADDRESS .s '7 () 9 /3,..J, Sf <br /> <br />JOB ADDRESS C" II '1-1 'f- <br /> <br />, <br /> <br />LEGAL DESClUPlION: LOT(S) <br /> <br />BLOCL-SUBDIVISION <br /> <br />PARCEL I.D.' I,.). L .~ I <br /> <br />00/ (J <br /> <br />of\yoc) 0 (j & () (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ----...Addition ----...Alteration --.Jlepair _Install <br /> <br />_Sign <br /> <br />---..Nove <br /> <br />--Peaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_ec-ercial <br /> <br />----KIF _' of Units ----"'/H <br />_Indust. -X,Swia. Pool _Other <br /> <br />-----Restaurant & Health Departaent Approval <br />DESCRIPTIOII OP WORK: ~ 7J/l(J (J if ; 1 f,<:r.c J- <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOIJESTED <br /> <br />~UILDING <br /> <br />c-~ <br />$ /O;;U3 <br /> <br />Valuation of Total Construction <br /> <br />---..ELECrRICAL <br />----lIECIIAIIICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />N.R.E.C. <br /> <br />$ <br /> <br />Valuation of Hechanica1 Installation <br /> <br />.-PLUHBIIIG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9F COIISTB.ucnOIl: _Block _Praae _Steel <br /> <br />Other <br /> <br />FIIIIISIIED FLOOll ELEVATIOIIS: <br /> <br />Fl. <br /> <br />IS PROJECT III FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BlffT.DD <br /> <br />CO~crORSEcrroN , <br /> <br />COtIPAIIY 1I(yt1.\J~P~ ~~ <br />State Cert. or Regist.' CI-'C..~~1"''''''~ <br />City License Registration' ...L.O <br />.......................................... <br /> <br /> <br />Signature <br /> <br />COMPANY 'I) CN ,....~.,. ),22,;,-" f'> .1..., I € l- ..,- <2 c .......+. <br />* /J State Cert. or Regist.' (,,/1 <br />\ J/LH....ff,.P City License Registration , <br />. ...................................... <br /> <br />COtIPANY ~1ti'7{~ (]u.~~L-, <br /> <br />) State Cert. or Regist.' Cfl,--(),).~j-v ~ <br />LL <:> City License Registration , r:f)-o <br />.......................................... <br /> <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />......*.***.*...**.******.***.**......*... <br /> <br />}f ~ !J1 ~ d PBBHIT OFFICER. <br /> <br />Signature <br /> <br />APPLICATION APPllOVED BY <br />