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<br />_..~ --... ...,...",,~... .-~. <br /> <br />c!!P fA. C , <br /> <br />=::~~J1:tr~ <br />J'tP50 (}4IJ :.%I4Hl. ~/ 1(, J',?.$! . <br />::D~: Uttls) Jfda.,2: ru~f!!.fwa, suaoI:~::'Z(fl~~ <br /> <br />APPLICAITON FOR PERIIIT <br />CITY OF ZEPBYRBILLS <br />BUILDIRG DEPARTHBNT <br /> <br />PHONE <br /> <br />/H''t)~// <br /> <br />JOB ADDRESS <br /> <br />WORK PROPOSED:-1!:..Jiew Construction -----Addition --..Alteration ____epair _Insta11 <br /> <br />_Sign <br /> <br />-Ifove <br /> <br />--Peaolish <br /> <br />PROPOSED USE: ~iDg1e F_ily <br />...2Leo-ercia1 <br /> <br />-1t/F _, of Units -1t/B <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />Restaurant Ii Health Departaent Approval <br /> <br />DESCIUP1'IOII OF _: ~ ~,~ :$.d~ <br /> <br />BUlLDIRG SIZE: X ,1.9~[) Sq~e Feet, ~~ I Height <br /> <br />RE5IDEI1TIAL: ATTACH (2) PLOT PLAlIS Ii (2) SETS OP BUlLDIRG PLARS Ii (1) SET EHERGY PORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUlLDIRG PLANS Ii (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED POR ALL NEW CONSTRUCTION. <br /> <br />PERIIITS REOUESTED <br /> <br />~UILDIRG <br /> <br />$ ~~()/()60 I - <br /> <br />Va1uation of Total Construction <br /> <br />/ RT .RCI'llICAL <br /> <br />AIIP Service <br /> <br />Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CBAlJIcu. <br />L-PLlIIBDfG <br /> <br />$ <br /> <br />Valuation of Hechanica1 InStallation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE QF OORSTllUCTIOR: ~loclt _Praae _Steel <br /> <br />Other <br /> <br />FDIISIIED FLOOR ELEVAnOIfS: <br /> <br />n. <br /> <br />IS PROJEC'l III FLOOD ZONE AREA? <br /> <br />)I. <br />- <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />IlITJ:J.Dm <br /> <br />~~ <br />~ =:i~. -or ~ ~J~?" <br /> <br />City License Registration , '2f.t1- <br />.......................................... <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY /I~# &~ <br /> <br />State Cert. or Regist. , <br />City License Registration' ~//?" <br />.......................................... <br /> <br />WtPARY ~ ~'I/!~J )}U~) <br />State Ceri. Reai t. , -r-~t;74(1)..2; <br />City License Registr tion' /f6 <br />.......................................... . , <br /> <br />RT.RCTRICIAII <br /> <br />SiDnAture <br /> <br />PLlDlBER <br /> <br />Signature <br /> <br />COHP <br />State Cer . <br />City License Resist tion' <br />.......................................... <br /> <br /> <br />IlEClWiICAL <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAITON APPBOVBD BY <br /> <br />PERKIT OPPICER. <br />