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<br />- ...................... --.-............-.-~.. ~~.~_.. <br /> <br />~'........ <br /> <br />APPLICAITON FOR PEBKIT <br />CITY OP ZEPIIY1UIILLS <br />BUILDDlG DUARTKBNT <br /> <br />.0595 <br /> <br />_'S_ ~ <br />OWNER'S ADDJlBSS . ~ . . <br />JOB ADDRESS <br /> <br />::D:~' wr(S);;'~ ;;;~UBDI::~ !::2('!J~~ <br /> <br />PHONE <br /> <br />f'H/~~/J <br /> <br />WORK PROPOSED:..LNew Coastruction .-Jddition ~teration <br /> <br />'Repair _Install <br /> <br />_Sign <br /> <br />.---Jlove <br /> <br />---Peaolish <br /> <br />PROPOSED USE: ~ing1e Feaily <br />-1(.eo-ercial <br /> <br />----It/F _' of Units ----It/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />. .-Jestaurant Ii: Health Departaent Approval <br /> <br />DBSCRU'fiOB OF -. ~ Cff~ :;8~ <br /> <br />BUlLDIRG SIZE: X . 19/}1) sq~e Peet. ~,2' Height <br /> <br />RESIDEI1TIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OP BUlLDIRG PLANS 1& (1) SET IUlERGYPOIHS. <br />COMMERCIAL: A'l'TACH (3) SETS OP BUILDING PLANS 1& (1) SET ENERGY FOlUIS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />2JsUlLDIRG <br /> <br />S. ;;~()/tJ(}O~ - <br /> <br />Valuation of Total Construction <br /> <br />,/ RI.RcrJUCAL <br />...::::JmCIWIICAL <br />...t::....PLUKBDlG <br /> <br />tzx:> AHP Service <br /> <br />/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$. <br /> <br />Valuation of Kechaoica1 Installation <br /> <br />GAS <br /> <br />ROOPING <br /> <br />SPECIALTY <br /> <br />TYPE QF aJIISTRUcnON: ~loclt _Pr&ae _Steel <br /> <br />Other <br /> <br />PIIII.SBBD FLOOR ELBVAUOIIS: <br /> <br />n. <br /> <br />IS PROJECl III FLOOD ZONE ADAT <br /> <br />)I. <br />- <br /> <br />YES NO <br /> <br />.**.......***.***......*.............*.... <br /> <br />Signature <br /> <br /> <br />mRTRAC1O&~ <br />. ~ .. <br />=~ ~. -or b8iB~. t #f~~?~ <br />City License Registration . . '2f,! <br />*.****.**....***.***.****.***..**.. <br /> <br />BUTI.DRR <br /> <br />Signature <br /> <br />COKPANY /I.;/?4 &~ <br /> <br />State Cert. or !legist. . <br />City License Registration . .;l J Y <br />.****.*********.*******.***....***** <br /> <br />=:reeh~#:~~ <br /> <br />City License Regi~~~ion . '/..{"6' <br />**.*************************.*******.**.*. .. I <br /> <br />PUDlBRR <br /> <br />Signature <br /> <br /> <br />ItECIIANlCAL <br /> <br />IlTIIRR COKPAIIY <br />S1:ate Cert. or Regist. . <br />Signature City License Registration . <br />***.*********.**********.*.***********.*** <br /> <br />APPL'lCAnOI1 APPROVED BY PBlUaT OPnCER. <br />