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<br />APPLICAnOH FOR PBIH1'r,
<br />CITY OF ZEPBYIlRT" ~
<br />BUILDDlG DEP~l
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<br />OWNER'S tUMR GpD1,)J//IIS. PJ!JltJ,rflL''';'
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<br />OWER'S ADDUSS ho-r~;j>h '.::S'~tJ/r-
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<br />JOB ADDIU~ .s- /J mlE
<br />LEGAL DESCJUPrlO.,,:I.OT(S) BLOCJ: S1JBDIV1S1~N W/Jrwr;.,.eo ~.oL?.s
<br />PARCEL I.D." 1L/:','[Jh-;Jl~~II:,O'-~~OOO-OJhti . (9pT~W FROM PROP~11'T~ ~Ql1CE)
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<br />WORK PROPOSED: . ~ew' eoUtnCti.OIl '--AdditiOA --Alteration Repair ':"::~'tau
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<br />WI1~N~ PIlONE
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<br />Sian
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<br />Hove
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<br />-DeItOlish
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<br />PROPOSED USE: ~iD81e'F~
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<br />,---"IF
<br />. _Iw.Iuat.
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<br />_' of Units' --Jf./H
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<br />Swia~ Pool _O~er ,
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<br />Reatauraat , Health DepartaeQ.t Approval
<br />DESClUP'lIOH OF W~: c'.o12.,yf!!.Ld -. SHED ~ c.J'fR,otJ~
<br />BUILDING SIZE: :x: 't' dJ>o Square Feet~ Pi" ? 'Heiaht
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<br />, ,..l ;.1 : :, t':",- " '_ . '. (
<br />~IDEllTlAL: A1'rACIl (2)' PLOT ,PLAIIS , (2) SETS or BUILDDlG PLAHS , (1) SB1' BliBRGY ,F01lHS.
<br />COHKERCIiU.: AnACII (3) SB1'S OF I1J1LDDiG PLANS (( (1) SET BHERGY f'0lUiS. - .
<br />P~~~ ,~~~)~p.q~, POll ,ALL;HEW COIJS~CTI0N..
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<br />, '~;" _:' i:i<rLi
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<br />, ,4\
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<br />~ '-1St) ,00
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<br />ValuatiOa 'of Total Cona~ruction
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<br />RT ..f.C' fBI.CAL
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<br />"~, Se~:4-ce
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<br />- Plorida Pow~r ,Corp.
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<br />W.R.E.C.
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<br />--JlBall\li1CAL
<br />-..PLUKllDlG
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<br />:ValuatioG of Heclaani~ lIaaWlatioQ.
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<br />
<br />CAS
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<br />IWOFlIIG
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<br />SPECIALTY
<br />Other
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<br />R~, -P~
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<br />. steel
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<br />rnasllBD FLOOI. ELlYATlOIIS:
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<br />F'l' ~;, ; , : IS PllOJlC'l' UfLOOD ZONlLAREA'
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<br />YES ;., NO
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<br />," :,,' ~:;,:;.; ", ' CONTRACTOR SECTION
<br />, ';'-/JU,/jLurn,
<br />.' OOtIPAIIY ' ,
<br />StaCe Cert. or ,Beaist. , c..eco~
<br />City License Beautration . _ _
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<br />BUTl.DKR.
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<br />Sigoatur,;~
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<br />F.I .RCTRIC'LAH
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<br />COHPAIiY .
<br />Stace Cert. or ReSist. .
<br />City License Resistration'.
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<br />iI\' r .'
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<br />Si llrut.tur4~
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<br />PLUHBER
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<br />i'.!",,~; ,. -I,: _ COHPANY'
<br />, ,. I . ' . , , State Cert. or Reaiat. .
<br />City License Resistration .
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<br />Signaturjl:
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<br />HECIIAHI~U.
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<br />, COHPAHY
<br />'., ," . '" j t '. ,',>I, State Cert. or Resut. .
<br />City License Resistration .
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<br />SiaDatur.~
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<br />OTRF.R
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<br />...***
<br />
<br />COKPAHY
<br />scace Cert. or ReSist. .
<br />City Liceaae Registration .
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<br />SiaDatur4t11
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<br />APPLICAT10H APPBOVID BY
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<br />PERK1T OFFICER.
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