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<br />APPLICAfiON FOR PERIIIT <br />CITY OF ZEPIIY1UIILLS <br />BUILDING DBPAR'l'HEIIT <br /> <br />OWNER'S RAKB <br /> <br />5#1Me- 4t <br />o?5~Oc; t<uS/7c <br /> <br />~~/)r J <br /> <br />/;V~ <br /> <br />PHONE <br /> <br />7gZ-27S3 <br />O/97CJ O~ L~TL-- n/l- 3.3S-yC; <br /> <br />or <br /> <br />JOJl ADDRESS S//~ ~h1h1er ~~t. DelVe' , Z-f'fi/Av' ~~ /~ riA- :53fYb <br />LEGAL DESCRlP'fiON: LOT(S) 129 BLOCIL-::...S~IVlSIo~ ~h)'J;f>t',- /./~ C <br />/;l -;2(;;, -Jl/- t.,L(/-Y6-;29 <br /> <br />OWNER t S ADDRESS <br /> <br />PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: )( New Qc;mstruction ---..Addition ---..Alteration ---..Jtepair _Install <br /> <br />_Sian <br /> <br />----"ove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: -LsiDgle Faaily <br /> <br />----"IF _' of Units ----"/H <br /> <br />_ec-ercial <br /> <br />_IDdust. _Swia. Pool _Other <br /> <br />---..Jtestaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTION OF WORIt: <br /> <br />,A/Ew dl"J-'?c ~...vSTrC/ ~ r,-t4/ <br />~/ //cY S/'..-v7~ .f'?v-'L-)' <br />r-3 X 'r 6, /6 cPo Square Feet, Beisht <br /> <br />BUILDING SIZE: <br /> <br />........-..........-- c.-- <br />RBSIDEIITIAL: ArrACK (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/ <br />~UILDING <br />../' <br />. RI.RCJ'RICAL <br /> <br />~CAL <br /> <br />PERMITS REQUESTED <br /> <br />$. <br /> <br />55; Cle;o <br />/9 <br /> <br />Valuation of Total Construction <br /> <br />$. <br /> <br />AIIP Service <br />p"" <br />':<30 c), - <br /> <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of llechanical Installation <br />Shr~ ROOPIRG SPECIALTY <br /> <br />~IIIG GAS <br />TYPE OF CORSTRUcnON: "':::"loclt ~ Fraae _Steel <br />PI1IISBBD P.tOOR .BLEVAfiOIllS: /# FT. IS PROJEct III FLOOD ZONE AREA! <br /> <br />Other <br /> <br />.......................................... <br /> <br />YES <br /> <br />-4 <br />NO <br /> <br />/ ~-s '. )... <br />I Y"!::'-' S <br /> <br />BITlI.DER <br /> <br /> <br />CONTRACtOR SECTION' <br /> <br />COHPAIIIY / /2.A-c J d/Vt.~1' j <br />". State Cert. or egist.' <br />City License Registration . <br />.......................................... <br /> <br /> <br />Signature <br /> <br />RI.RC'l'RICIAII . COMPANY :5f+i:P i-tel: oGLEL- TfZ-i <- <br />~::: \V1I*1 M ,.J,A ,r~" L ~~~e L=';" o~::~::~~. ~ <br /> <br />~' '~~...................................... <br /> <br />PLUMBER COHPANY HA-eM0#0 . ~LtfL PUtMb'NJ / <br /> <br />~_ ... - II State Cert. or Regist. f <br />Signature OtAr~ ( ~J1 City License Registration " /$S- /.<?' <br />.......................................... <br /> <br />V <br />J'IS~ <br /> <br />~ <br /> <br />IlECIWlI~ <br /> <br /> <br />I )~ ~L........' COMPANY S~ ~J\ <br />~ State Cert. or Regist. . <br />City License Registration f <br />.............................*............ <br /> <br />f:-1 J?2;TrL-f ( <br /> <br />-H?' ~ <br /> <br />~ <br />I i:SJ.... <br /> <br />Signature <br /> <br />OTHER () AK& COMPANY . flz~,.,,(~r ~"/,,o/~ <br />rvvo State Cert. or Regist. . ( <br />s~ture ~~. City Liceuse lleaistratioo. . <br />.......................................... <br /> <br />APPUCAUOR APPIIOVED BY !l If M~ ~(s ~ A Q PIlIIIIIT OFPlCEll,. <br />