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<br />APPLICAnON FOR PBlKIT <br />CITY OF ZEPIIYIUIIU.S <br />BUILDING DEPAR'l'KENT <br /> <br />OWNER'SNAKE <br /> <br />1.v1f1W~ <br />OWNER'S ,ADDUSS ALJr ~ R ....PRo I fl 1.. 14 w It /l.JD~ <br />JOB ADDRESS S,t:l ME <br /> <br />GoD J,J I fJj- tI- <br /> <br />PHONE <br /> <br />7/~~ /3S'i/ <br /> <br />LmP <br /> <br />LEGAL DESCR1P1'lON: LOT(S) BLOCK SUBDIVISION W/'7YW/J1€.P btJ/ J./tD..f' <br />PARCEL 1.D.' / <!-.;2b-dJ.,j-L:>/bD-t!)OCK::o- O.JR'O (OBTAIN FROM PROPERTY TAX liOTICE) <br />WORK PROPOSED: ~ew' CoaatructioD ----..Addition ----^lteration Repair _Install <br /> <br />Sip <br /> <br />PROPOSED USE: ~iDa1e F~ <br />_ec-ercial <br /> <br />-.....JIove <br /> <br />-DeIIOlish <br /> <br />--Jl/F _' of Units --Jl/H <br /> <br />_lDduat. -5wia. Pool _O~er <br /> <br />Restaurant II Health Departaeo.t Approval <br />DESCllIP'1'ION OF WOB: Ct>)Jc.~c'i1i- - S#eO - C1111' r='LJR-r- <br /> <br />, . " <br /> <br />BUILDING SIZE: X , .s':;0 Square Feet,P 70 9 Heiaht <br /> <br />RESIDBllTIAL: ATrAaI (2) PLOT PLANS , (2) SETS OF BUILDING PLANS " (1) SET UERGY FOBMS. <br />COMKERCIAL: AttACII (3) SETS OF BUILDDilG PLANS, (1) SBT ENERGY FOBHS. <br />PROPERTY SURVEY BBQUDED FOR ALL NEW COHSTllUC"tION. <br /> <br />"~" , <br />-=..JStJ1LlI)DiIG <br /> <br />PERMITS REQUESTED <br /> <br />$. c2L/~tJ . 00 <br /> <br />Valuatio~ 'of Total Construction <br /> <br />RT RCmCAL <br /> <br />AIIP Se:n~ce <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IEQI.Ui1CAL <br /> <br />$. <br /> <br />Valuatioo of Kechanicallnstallation <br /> <br />-PLUKlBDlG <br /> <br />GAS <br /> <br />ROOPDlG <br /> <br />SPECIALTY <br /> <br />- , <br /> <br />TYPB PF 4::01lS'1'JWC1'10B: <br /> <br />B1ocJr. ~raae -5teel <br /> <br />Other <br /> <br />FDlISBBD FLOOR ELBVAnONS: <br /> <br />FT. <br /> <br />IS PllOJEC1' IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />~' mtlPAIIY ):JLE /fLU /lA ~ <br />, '. ,. "'-. State Cert. or ,Regist.' CRC-Dj:,JbN-E> <br />_ City License Registration' __ <br />.**..**...*.**.****.*****.***************. <br /> <br />BUTLDRR. <br /> <br />RI.RCTRIC:t.AIl <br /> <br />COHPAHY . <br />Stace Cert. or Regist. , <br />City License Registration' <br />..***..................................... <br /> <br />SiaflAturl~ <br /> <br />PLUKBER <br /> <br />COKPANY <br />Stace Cert. or Regist. . <br />City License Jlegistration . <br />............*..................*..*....... <br /> <br />S1goaturl! <br /> <br />HECHANIClU& <br /> <br />~ COHPAtlY <br />State Cert. or Regist. . <br />City License Registration . <br />...........................*...........*.* <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />..***~ <br /> <br />COHPAHY <br />State Cert. or Regist. , <br />City License Registration . <br />~*.*.*..........*.........*....* <br /> <br />Sigoature <br /> <br />APPLICAT10H APPllOVED BY <br /> <br />PERKIT OFFICER. <br />