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<br />APPLlCAnOR FOR PDllIT <br />CITY OF ZEPIIYRBILLS <br />BUlLDIRG DEPARTHDT <br /> <br />ti~I~~~~5~' <br />~8QJ4g5 <br /> <br />OWRBR'S <br /> <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTIOR: LOT(S) B~SUBDIVISIO <br />PARCEL I.D.'\Y1-.;l(,o-;(..\- COOl.O-oCC'C:()- OOA-l (OBTAlH FROM PROPRRTY TAX HOTICE) <br />WORK PROPOSED:__ew Construction ~ition ----Alteration .--Jlepair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ......single Feaily <br /> <br />---3f./F _' of Units ---3f./H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />_........t " Health De~t ~ ' <br /> <br />D~CRIPr1OIIOPIillH:_Odd,v~ ,H. ~oo((j {u ~~ <br /> <br />BUlLDIRG SIZE: d~x '7':;: ~e Feet, Height (1 <br /> <br />RESIDEIITIAL: <br />COIIHERCIAL : <br /> <br />ATrACII (2) PLOT PLARS &; (2) SETS OF BUlLDIRG PLABS &; (1) SET DERGY FORMS. <br />ArrACII (3) SE'l'S OF BUlLDIRG PLABS &; (1) SET ERERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL HEW CORSTRUCTIOR. <br /> <br />--BUlLDIRG <br /> <br />PERMITS REQUESTED <br />'l/\f'\A 00 _ - <br />$~Valuation of Total Construction <br /> <br />RT.RCTBICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.JIEaIAIIICAL <br /> <br />$. <br /> <br />Valuation of Hechanical Installation <br /> <br />-PLUHBIRG <br /> <br />GAS <br /> <br />ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF OOIlSTRUcnOR: --.Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />PIIIISIIBD PLOOll PfEVAnOIJS: <br /> <br />Fl. <br /> <br />IS PROJECT IR FLOOD ZOO A1lEA, <br /> <br />YES <br /> <br />RO <br /> <br />.......................................... <br /> <br />R~JJ)RR <br /> <br /> <br />CORTRAC'rOR SR% c: <br /> <br />mtlPAIIY i J ~A1Lt1zcNL <br /> <br />State Cert. or Regist. . ~~l0 <br />City License Registration . <br />............................. <br /> <br />RT.RC'l'RTCIO <br /> <br />SiDnAture <br /> <br />COHPAIIY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />PLUMBER <br /> <br />mtlPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlEClWilCAL <br /> <br />COHPAIIY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />cotIPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAfiOR APPROVED BY <br /> <br />PBBKIT OFFICER. <br />