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<br />APPLICAITON FOR PElUlIT <br />CITY OF ZEPIlYRIIILLS <br />BUILDING DEPARTHERT <br />~ KA( G :; I 1)1< ~ . .... H C <br />OWNER'S lWIK c- H rt 1<-1-..& r-r E- (VL ' ;7:l rvt B t t5_s c rI PHONE 8'j ~ -. ) J1? 'J )-,3 s- <br /> <br />OWNER'S ADDUSS <3 7' 7 LF ( fl'1 F- f1- P () Ct. c/ (j (7 /) /-, (/ f!) P Z t3- ('::> tI- \1 R /i/ i.. t S' <br /> <br />JOB ADDRESS 5' P,lL] ~ W> II-- (5 C;; L/f2.. <br /> <br />LE~ DESCIlIPlIOIi: LOT(S) ,':;-7 .1 /31 11;:-5\~~IVISIONf1I::ft-Oc'pt/(()(()P SS'1/+rt2s- <br /> <br />PARCEL LD. f /3 - ;) b - :1-L - () / 'I D - 00000 -- OS'lll CIlll7AD1 PBlIII fIlDPEIlrY f~ !lanCE I <br /> <br />WORK PROPOSED:~ew Construction ---..Addition ---.ftlteration ----..Repair _Install <br /> <br /> _Sign ---Ifove -.J)eaolish <br />PROPOSED USE: \;:ina1e F_ily ---.Jt/F _' of Units ---.Jt/H <br /> _ec-ercial _Indust. _Swill. Pool _Other <br /> <br />DESCRIP'l'lOB OF WORK: <br /> <br />----..Restaurant &: Hea1th Departaent Approval <br />1'2..1'-' ( ( <br /> <br />(to)) <br />X 3 D, :) (-' C Square Feet, 9' t;-! Height <br /> <br />(')c=- l~ {3 EN <br /> <br />BUILDING SIZE: /,1.. <br /> <br />RESIDEIITIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ir (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />~UILDING <br /> <br />$. ~~.. 0-0 <br />, <br /> <br />Valuation of Total Construction <br /> <br />RT:~m:RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----.JIECBARICAL <br /> <br />$. <br /> <br />--PLUKBING <br /> <br />GAS <br /> <br />Valuation of lIecbanical Installation <br />? ROOFING V' SPECIALTY <br />_Fraae _Steel d'!'I..i,."""A'L Other <br /> <br />TYPE OF COBSTRUcnOB: ---Block <br /> <br />YES <br /> <br />~./' <br />NO <br /> <br />FIBISBED FLOOR BLEVAnOI1S: <br /> <br />FT. <br /> <br />IS PlWJECT IN FLOOD ZONE AREA? <br /> <br />******************************.********.** <br /> <br />CONTRACTOR SECTION" <br />.'J <br />Run .DRR cotIPAIIY cZ!-(/c '-"'}--L..L--c:---- <br /> <br />~ J 1/41, <br />., . . ... State Cert. or Regist. I. <br />Signa 17L.ev111.. 'tvrr7,.t!-:'?C City License Registration , <br />********************.********************* <br /> <br />RT.RCTRTCIAIII COKPAIIY <br />State Cert. or Regist. . <br />SiDnAture City License Registration' <br />***************************.************** <br /> <br />PLIDIBER COMPANY <br />State Cert. or ReSist. , <br />Signature City License Registration , <br />****.*.*****.*..*.*.*.**.**..*....*...*... <br /> <br />IlEClWfICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />***********************.****************** <br /> <br />OTRRR COKPAIIY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICAnON APPROVED BY PElUlIT OFFICER. <br />