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<br />....- <br /> <br />'.~'.'lo"''''''.~~,~~, <br /> <br />APPLlCAnON FOR PERltIT <br />CITY OP ZEPBnmlLLS <br />BUlLDDlG DEPAR'l'MENT <br /> <br />OWNER'S IWtB ;?1C\tr)\evs <br /> <br />0WlIER.' S ADDRESS 3lS" I () c( <br />-=< ~' lOCI <br />JOB ADDRESS --.-/ I <br /> <br />nf'~ga~(,_ C (~1,b7-1jd7--'6:0d <br />(Y/c( r Ie S€ ~ .,I"€ Ze /7A yr A.lll ~- FL._ <br />-I) c., I I ' <br />()1 C(. r- k ~ --'-:>-8 (.J,.."'A r e <br /> <br />LEGAL DESClllP'1'ION: I.OT(S) <br />PARCEL I.D.' <br /> <br />BLDCIL-SUBDIVISION <br /> <br />(OBTAIN FROM PROPQTY TAX NOTICE) <br />. <br /> <br />WORK PROPOSED:___.Jew Coastruction -...Addition --..Alteration <br />hip <br /> <br />Repair _Install <br /> <br />--.JIove <br /> <br />~lish <br /> <br />PROPOSED USE: _Single F8IIily <br />-b.ec-ercial <br /> <br />---lI/F _' of Units ---lI/B <br /> <br />_lDdust. _Swia. Pool _Otl;1er <br /> <br />Restaurant &: Bea1th Departaent Approval <br /> <br />Wo-- { ( S/q 1'1 <br />/ . <br />~e Peet, <br /> <br />DESClllP'1'IOB OF WORK: <br /> <br />BUlLDDlG SIZE: <br /> <br />x <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLABS &: (2) SETS OP BUlLDDlG PLANS &: (1) SET DERGY POR!lS. <br />ArlACH (3) SETS OP BUlLDDlG PLANS &: (1) SET BRERGY FOlUIS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COBSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UlLDDlG <br /> <br />$. 33..50 .~ <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTBlCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---lIBCIIAIIlCAL <br /> <br />$. <br /> <br />Valuation of 1lechanica1 Installation <br /> <br />-PLUKBDG GAS ROOFING <br />TYPE OP COBSTJWCTIOB: __loclt _Praae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDlSIIED FLOO1l ELEVAfiOBS: <br /> <br />Fl. <br /> <br />IS PROJEct IB FLOOD ZOO AREA' <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />RIJTT.DRR <br /> <br /> <br />COBTRACTOR SECTION <br />. 1fJ- c 5) <br />COIIPAIIY jl-Oc;if' /' -> /If' "- i~n;f Inr. <br />State Cert./or Regist.' r <br />City License Registration . <;-srs <br />.......................................... <br /> <br />Signature <br /> <br />RT .RC'l'RICIAIII <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />Sign~ture <br /> <br />PLlJllRER <br /> <br />COIIPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />tlECllABICAI. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPAIIY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLlCAnOB APPROVED BY <br /> <br />PERHIT OFFICER. <br />