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<br />....".,'1(. .,.... ~ <br /> <br />APPLICATION FOR PDKIT <br />CITY OP ZEPIIYRBILLS <br />BUILDIHG DEPARTKENT <br /> <br />OWNER'S NAHK ~{)/3PR..r - /(/r/p <br />OWER'S ,ADDUSS J.br-lfS:-bo'le' <br />~J9mE <br /> <br />~,IIIpr <br />R J lX:r E W'" --r DR... <br /> <br />PHONE <br /> <br />7R;l -;.)~?~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DRSCRIPrlOIl: LOT(S) BLOClC SUBDIVISION <br />PARCEL I.D.I.3~;;Jb "'~J -t)/3a --t:vtJ[)CJ- ~tj..S-lJ (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~ew' Coaatruction -..Addition ---1Uteration Repair _Install <br /> <br />Sip <br /> <br />-.Jfove <br /> <br />---PeIIOlish <br /> <br />PROPQSED USB: V;iDa1e F~il7 <br /> <br />,-1l/F _' of Units -1l/H <br /> <br />_ec-ercial <br /> <br />_lDduat. -5wia. Pool _Otl;1er <br /> <br />Restaurant II Health Departaent Approval <br /> <br />DESCRIPTIOII OF WOlUC: C{)/IJC/2t:rE - S#~() - ~~~OR.r-)OJ9-7'/O <br /> <br />BUILDIHG SIZE: t? X 1:1-. .1'10 Square Feet, ~~'p' Height <br /> <br />RESIDEllTlAL: ATrACII (2) PLOT' PLAlS& (2) SETS OP BUILDIHG PLANS i& (1) SET EIIERGY POBMS. <br />COHKERCLU.: ArlACII (3) SETS OF BUILDING PLANS II (1) SET EHERGY FOlUtS. <br />PROPERTY SURVEY BlQUIRED FOll ALL NEW CO!ISDUCTIOH. <br /> <br />. V;lJW~~G <br /> <br />$. <br /> <br />d7~t>'"OO <br /> <br />P~TS REOUESTP.D <br /> <br />Valuati.' of Total Construction <br /> <br />Rl.RCnu:CAL <br /> <br />AIIP Serv~ce <br /> <br />Plorida Power Corp. <br /> <br />W.R.B.C. <br /> <br />-JlEClLUilCAL <br /> <br />$. <br /> <br />ValuatiOD of KechaDica1 Installation <br /> <br />----.J.>>LUKlBDlG <br />TYPE f.)P ICOIJSTJWGTIOH: <br /> <br />GAS ROOPDlG <br />Rlock ~~ _Stee.). <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />PlIIISBID P.LOOa BLBVATIOIIS: <br /> <br />PT. <br /> <br />IS P1WJBCT III FLOOD ZOIlE ARBA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIJJI..DD. <br /> <br />CONTRACTOR SECTION <br />. OOKPAIIY /J~ /J LU /*'1. <br />.U~ ~~teLi~o~~~~ :::,e~il/b~P <br /> <br />.......................................... <br /> <br />Signatur1e <br /> <br />RT.RCTRIc:ra <br /> <br />COHPAIIY . <br />State Cert. or Regist. . <br />City License Registration'. <br />...*...................................... <br /> <br />SianJlture <br /> <br />PLUMBER <br /> <br />COtIPAIIY <br />State Cert. or Jleaist. .. <br />City License Jlegistration . <br />.......................................... <br /> <br />Sigoature <br /> <br />MECHAHYCI~ <br /> <br />, COtIPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />........................................... <br /> <br />Sigoaturl~ <br /> <br />OTRY.R <br /> <br />COKPABY <br />State Cert. or Regist. . <br />City Licenae Registration . <br />.......................................... <br /> <br />Sigoaturl! <br /> <br />APPLICAT:U))f APPBOVED BY <br /> <br />PERKlT OFFICER. <br />