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<br />".... _."'_".,........,..~ "._.,e ~;;..;._""':.""".,,....__.,,:'..._T ,,;.-.~ <br /> <br />-~,..,.~....,.,........"""'......" <br /> <br />APPLIGAITOB FOR PEB!IIT <br />CITY OF zEPIIYRIIILLS <br />BUlLD1I1G DEPAR1'MENT <br /> <br />_'5 __ . ~ <br />_'5 ADIlIIBSS ~ ~_.- -- <br />JOB ADDRESS <br />::D~: un(S)~2/~;~::Jt::!::l~'7.!~~ <br /> <br />PHOBE <br /> <br />JlU/tJ~// <br /> <br />WORK PROPOSED:..l!Jiew Construction ----.Addition ~teration .--.Jlepair _Install <br /> <br />_Sign <br /> <br />-.--Jlove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: ~ing1e Faaily <br />...Leo-ercial <br /> <br />--.-Jt/F _' of Units --.-Jt/B <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />.-.-.Restaurant Ii: Health Departaent Approval <br /> <br />DBSCRIPnOll OF -: 71~ Cff~ ~~"1 <br /> <br />BUlLD1I1G SIZE: X . 19/)t) _e Feet. 7.2 I Height <br /> <br />RESIDEIITUL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILD1I1G PLARS Ii: (1) SET ERERGY FORHS. <br />COMMERCIAL: ArlACH (3) SETS OF BUlLD1I1G PLANS Ii: (1) SET ERERGY FORHS. <br />PROPERTY SURVEY REQUIRBD FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILD1I1G <br /> <br />$ ;:~t;/lJdO ~ - <br /> <br />Valuation of Total Construction <br /> <br />,/ RT.RcrRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br />..J:::::......PIRG <br /> <br />$. <br /> <br />Valuation of Kecbanica1 Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE QF COIISUUCT10B: ~loclt _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOll ELEVAfiOIlS: <br /> <br />n. <br /> <br />IS PROJEct 111 FLOOD ZONE AREA' <br /> <br />)(, <br />- <br /> <br />YES NO <br /> <br />**..*******......****.***.*..*.*********** <br /> <br />Signature <br /> <br />. ~~ <br />~ :e~-t.-or~ ~fJ~?.; <br /> <br />City License Registration . '2f<1- <br />******************.**************.***.**** <br /> <br />BITTlDRR <br /> <br />COMPANY /I~& &AM <br /> <br />State Cert. or Regist. t <br />City License Registration . ..2 / if' <br />*****************************.***.*.****** <br /> <br />~ABY ~ ~~/lILI';J ~ <br />State Cert. Regi t. t(l~-~D ()()~..7 <br />City License Registr tion t /fB <br />****************************.************. . <br /> <br />RT.RC'l'RTCIAIiI <br /> <br />Siana.ture <br /> <br />PL1IMBER. <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />IlECRAIiIICAL <br /> <br />nTIIRR COKPAIIY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.**************************************.** <br /> <br />APPL'ICAfiON APPBOVED BY PEBHIT OFFICER. <br />