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<br />.~_., _..._--"~..- <br /> <br />.....................'-.,........,. ...-T.,..,.,.",._~~'...,'7,~... ... ~4 <br /> <br />~ ........-.~"':..:{.."'..;,::.."...,. . . <br /> <br />APPLICAfiOR FOR PElUlIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDDlG DEPARl'IIERT <br /> <br />OWNER' S IWm (' ~~ A <br />OWNER' S ADDRESS -:;?? 17 <br />JOB ADDRESS 51} /:' C . <br />LEGAL DESCRIPTIOR: LDT(S) <br /> <br />G- boWeLL <br />Jr' l.3:~ Ill/C. <br />/1, <br /> <br />PHONE <br /> <br />.711 -/5'(/ <br /> <br />'- <br /> <br />BIDCL-SUBDIVISIOR <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:-Rew Coastructioo. ----..Addition --...Alteration bpair 4Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />->>e8olish <br /> <br />PROPOSED USE: ~ing1e Faaily <br /> <br />----1I/F _, of Units ----1I/H <br /> <br />_eo-ercial <br /> <br />_Indust. _Swill. Pool _O~er <br /> <br />-.Jlestaurant Ii: Health Departaent Approval <br />DESCRIPTIOB OF WOlDt: f~. - .2tJP'::" 1 "1 rI <br /> <br />BUILDDlG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RE8IDEI1TIAL: <br />COMKERCIAL : <br /> <br />A'l'TAQI (2) PLOT PLANS Ii (2) SETS OF BOILDDlG PLANS Ii: (1) SET ENERGY FORMS. <br />ATrAQI (3) SETS OF BOILDDlG PLANS Ii: (1) SET ENERGY FOIUlS. <br />PROPERTY SUllVBY REQUIRED FOR ALL NEW COBSTRUCTION. <br /> <br />~OILDDIG <br /> <br />$ <br /> <br />JI <br />""7 ({ A /I ,{J'. <br />~ UL', (..iT <br /> <br />PERKITS REOUESTED <br /> <br />~ <br /> <br />Valuation of Total Construction <br /> <br />RT.RCl'RI.CAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br />-PLtIIBDIG <br /> <br />$ <br /> <br />Valuation of llechanical Installation <br /> <br />GAS <br /> <br />. I <br />!( . ROOFDlG <br /> <br />SPECIALTY <br /> <br />TYPE ()F COIIST.RUcnOB: _____lock _FraIIe _Steel <br /> <br />Other <br /> <br />FDIISIIED FLOOR ELEVATIOBS: <br /> <br />FT. <br /> <br />IS PROJECr III FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CORTBACTOR SECTION <br /> <br />BIJTJ.DRR <br /> <br />{7 . /J <br />,-'f( r't>~ {iIL~ <br /> <br />/"" . . .j ..1/ ./ '. I' <br />COKPANY {f}/lJtf/A-' /tv{Jr/I(/~v. <br />State Cert. or Regist. . R L (, CI t/? 2-'1/ <br />City License Registration ,30 <br />.......................................... <br /> <br />j)~Jl. <br /> <br />Signature <br /> <br />RT .Rl':'I'RTCIAII <br /> <br />COtIPANY <br />State Cert. or Regist. , <br />City License Registration' <br />.......................................... <br /> <br />Si_ture <br /> <br />PI.IDlBRR <br /> <br />COItPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Sigoature <br /> <br />IlECIWllCAL <br /> <br />COtIPANY <br />State Cert. or Regist. . <br />City License Registration. <br />.......................................... <br /> <br />Sigoature <br /> <br />OTIIRR <br /> <br />COtIPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Sigoature <br /> <br />APPLlCAnOB APPROVED BY <br /> <br />PElUlIT OFFICER. <br />