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<br />.--...'.-" -.,......~..~~... . '" ., "'.. <br /> <br />._-'.^"~'''''_-''-'..._........""",...,..-..:,""" ~r""'._''''~'~ <br /> <br />JIll _:'S'ii{.""'" <br /> <br />APPLICATION FOR PBlUlIT <br />CITY OF ZEPBYIUIILLS <br />BUILDING DEPARTHBNT <br /> <br />OWNER' S IL\KE ~~ \ 1\ 1)1\l\I \ l::1 l, J~ PHONE ,t)U4 } 52~- 1~71 <br />OWRER.' S ADDRESS \ ~ J?>4- 9J~ ~-Tr f ~-t- ~Ax- C\+y I FL '3 ~)Sz.t; <br />JOB ADDRESS ~'i)lD42. . I O"-lt, ArVEN()~ Z~tt'i)C. t+J U '" PL <br /> J , <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOClL-..SUBDIVISION <br /> <br />PARCEL I.D.' 11- Z(.,- 2.1 . () /) \0 - oa~OD' \1115 (OBTAIN PROM PROPERTY TAX NOTICE) <br />Re.f>o,k- : <br />WORK PROPOSED:__ew Coostruction --...Addition --Alteration ~ir _Install <br /> <br />_Sign <br /> <br />--...JIove <br /> <br />---..oe-olish <br /> <br />PROPOSED USE: X Single Faaily <br /> <br />----.Jf/F _' of Units ----.Jf/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _OtJ;1er <br /> <br />Restaurant & Health Departaent Approval <br /> <br />DESCRIPTlOR OF WOlUt: 9-,,\\ \Vl~ Ie - Re . Ruk <br />BUILDING SIZE: X Square Feet. <br /> <br />(X~ ~~5>) <br />Height <br /> <br />RESIDEIITIAL: ArrACII (2) PLOT PLAItS & (2) SETS OF BUILDING PLANS & (1) SET BRERGY FORMS. <br />COHMERCIAL: ArlAQI (3) SETS OF BUILDING PLANS & (1) SET BRERGY POBIIS. <br />PROPERTY SURVEY BEQUIRBD FOR ALL HEW CORSTRUCTION. <br /> <br />PBlUlITS REQUESTED <br /> <br />~UlLDING <br />~CAL <br />---.JIECIIAIIICAL <br /> <br />$. <br /> <br />/3S'J Sl) <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$. <br /> <br />Valuation of Hecbanica1 Installation <br /> <br />-PUllBIRG <br /> <br />GAS <br /> <br />ROOP1lIG <br /> <br />SPECIALTY <br /> <br />TYPE ()F OOIIS1'IlUCl'IOR: -B1ock _Fraae _Steel <br /> <br />Other <br /> <br />P1IIISIIED FLOOR ELEVATIORS: <br /> <br />Fl. <br /> <br />IS PROJECT IR FLOOD ZOO AREAT <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />COJITRACTOR SECTION <br /> <br />BIJTI.DRR <br /> <br />mtlPAIIY <br />State Cert. or Resist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RI.RCTRYCIAII <br /> <br />COHPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Si-ture <br /> <br />'PI.I1MRRR <br /> <br />COHPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Sigoature <br /> <br />IlECllAlfICA.I. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration" <br />.......................................... <br /> <br />Sigoature <br /> <br />OTIIRR <br /> <br />COHPANY . rt1, (J)M IhVlstrtA(tll)V1 \ I VlC <br />;/)jil-' /~ ~- State Cert. or Regist.' Rc OlJ5521S' <br />L.. m City Licease Registration . ~ I <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATIOR APPROVED BY <br /> <br />PERHIT OFFICER. <br />