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<br />APPLICATION POll PIWIIT <br />CITY OF ZEPIIYRIIIU.S <br />BUlLDDlG DEP.AR'l'KENT <br /> <br />OWNER'S IWm jJ~ .TlJrE,esm~/ f>. {}/ R,if;(1) <br />OWHER'S ADDUSS ./.0"-:73 t/'f/ RIMa aI/1J/ .oR- " <br />JOB ADDRESS S/)IYJc <br />LEGAL DESClUP'lIOII: LOT(S) BI.OCL-.SUBDIVISION <br />PARCEL LD.' 3;)b-...}/..tJ~<tJ-t)azl!J-LJ 7t?o (OIffAIR FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: Vuew Coastruction ---1u:Idition -JIteration ---..:Repair _Install <br /> <br />PHONE 7[>02-;) :2 71::. <br /> <br />-5ign <br /> <br />--'love <br /> <br />->>eaolish <br /> <br />PROPOSED USE: VsiDgle Fsaily <br /> <br />---ll/F _' of Units ---ll/H <br /> <br />_ec-ercial <br /> <br />_lDdust. _Swia. Pool _Other <br /> <br />Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTIOII OF WORK: SilEO ~ S'C--,e$~1U /&:JO/?1' C-/fR/'LJ;e:r- <br /> <br />BUlIJ)DlG SIZE: /0 X 10 ,"tJtJ Square Feet. q ~ 'Height <br /> <br />RESlDEIITIAL: A'lTACH (2) PLOT PLAIIS &: (2) SETS OF BUlLDDlG PLANS &: (1) SET ENERGY FORKS. <br />COKKERCIAL: ArrACH (3) SETS OF BUlLDDlG PLANS &: (1) SET EIIERGY POBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UlLDDlG <br />-ELECrlUCAL <br />----JlEClWnCAL <br /> <br />$ <br /> <br />dL/i>zoO <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 Mechanical Installation <br /> <br />-PLUKBDlG GAS ROOFING <br />TYPE flF COIISDUcnOIl: -...Block -Jraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />PIllISHBD .FLOOR ELEVATIOIIS: <br /> <br />F'l'. <br /> <br />IS PROJECl IB FLOOD ZONE AREA' <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Bml.DD. <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY /1 LE. /J LU /YJ. , <br />~ State Cert. or Regist. t DE"LC>~O <br />City License Registration . '. <br />****************************************** .~ ,~ <br /> <br />Signature <br /> <br />P.l.RCTRICIAR <br /> <br />COMPANY . <br />State Cert. or Regist. . <br />City License Registration' <br />****************************************** <br /> <br />Sianature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License :Registration I <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAl" <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTIIF.R <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPItOVED BY <br /> <br />PERKIT OFFICER. <br />