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<br />s t-e-e I"C.- PHONE J/~ - ZZ~ ~ 6017 <br /> <br />. <br /> <br />OWRER'S ADDRESS O.rIV-"'" 01> -(. (} ~ 7'0 () / <br /> <br />JOB ADDRESS 2~ .).. jL /." ~ ~/"-'. <br /> <br /> <br />LEGAL DESCRIP'llON: LOT(S) ;)7 B~SUBDIVISION 5'k.J'j..,..~ C{""" f.1"t- gl.;~{k;k <br /> <br /> <br />PARCEL I. D.' 0 ~ - Z ~ - Z 1 '- D I b tJ - {)lJ()~O - 0270 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br /> <br />WORK PROPOSED:hew Construction ---..Addition ---...Alteration --.-:Repair _Install <br /> <br />4lcz, ~. D t;. <br />. , U'::J , <br />.0 - '!iJ 1-) <br /> <br />OWNER'S NAMB <br /> <br />f20^~/ J <br /> <br />(+J <br /> <br />APPLICATION 'OR PERMIT <br />CITY OF ZEPIIYlUIILIJ) <br />BUILDING DEPARTME~ <br /> <br />:J~h~ <br /> <br /> <br />_Sign <br /> <br />PROPOSED~E: ~~eF_i~ <br /> <br />_ec-ercial <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />_KIF _' of Units _K/H <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />--.-:Restaurant Ai: Health Departaent Approval <br /> <br />DESCRIP'llON OF WORK: C.,d~-h~ ..sJl..;\~ F~"~ fl.eJ.~ele.~"" <br /> <br />BUILDING SIZE: ~ X & ,/, Zh'i7 0 ~quare Feet, S i IJ 'L Height <br /> <br />RESIDEJITIAL: ATTACH (2) PLOT PLANS Ai: (2) SETS OF BUILDING PLANS Ai: (1) SET ENERGY FORMS. <br />COtIKERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ai: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UlLDING <br />..k.ELEC1'lUCAL <br />hClWllCAL <br />~~~G <br /> <br />$ ., 78) o.:;J~':;" <br />""Z67::J AIIP Service <br />.M J.:- <br />$ ~ 3/00 Jl-I <br /> <br />GAS <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br />-&.FIorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br />X ROOFING SPECIALTY <br />, <br /> <br />TYPE OF COliSTRUcnON: _Bloclt _Fralle _Steel Other <br />FIllISHED FLOOll ELEVAfiONS: tto F1'. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />X <br />NO <br /> <br />.......................................... <br /> <br />YES <br /> <br />CONTRACTOR SECTION <br /> <br />~ COtIPANY f3:;l/t-<- ~k~,j.-,,/ A. <br />State Cert. or Regist.' eM 0 S;a,I'7) <br />Signature City License Registration . f'~ 7 <br />~ .......................................... <br /> <br />BUTT .oER <br /> <br />RI.R.CTRTCIAII <br /> <br />Signature G? b--)!A.^ y~ <br /> <br />COKPANY G~/... ~/-eA-'~' I <br />State Cert. or Regis t.' ~Il 0", " z.. 7" S / I+1H4 at>/ S7> b'-' <br />City License Registration' 21 J . <br />.......................................... <br /> <br />PLUMBER COMPANY ~l\Yl~i Pl\A.\11 btn~ <br />(J . IMI 0, I . State Cert. of- Regist.' ,.. ~{".l"'\</d.91 g- <br />Signature ~- _~~ City License Registration' q. ( <br />.......... ............................. <br /> <br />MECHANICAL ~~ COKPANY&'"S AJE/Tj~C~:)) ,1~ a~. <br />/ ~ f). State Cert. or Regist.' 'ACLJ~ ~5 <br />Signature t/~ City License Registration' / .z....b <br />.... ..................................... <br /> <br />OTRRR <br /> <br />~.W- <br /> <br />COMPANY /f- I ~~ /;r~, <br />State Cert. or Regist.' /Lc... O()~I y ~ <br />City License Registration' e~ <br />.......................................... <br /> <br />Signature <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />