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<br />.'. <br /> <br />APPLlCAUOH FOIl PIBIIIT <br />CITY OF ZEPBY1UlIU.S <br />BUlLDD1G DEP~ <br /> <br />OliliER'SIWII\ fle1<- Jl/JflRsrAr~ s 11 /ltJl'1~ S <br />OWlER'S ADDUSS d.s-.2l::. 7 "J!tUY' S-y Jd~J':r- <br />JOB ADDRESS ).Pr:. b7 ..:;> 76YS vP/?,!1lJo i)/C....'. <br />LEGAL DESCRIP'nOIl: LOT(S) BLOCK SUBDIVISION ZiP If rt:2.-lfIlJG-e <br />PARCEL I.D." 2-;)Io-';)"J- tJ.:?/~.;..ooCJO{).-~fp?O (OBTAIN FROM PROPERTY TAX ,Q1ICE) <br />WORK PROPOSED: ~ew'CoaatruCtion --."AdditiOll ---Alteration Repair _~tau <br /> <br />PHONE 7?;; -;2;2 ?6 <br /> <br />~iao. <br /> <br />~ve <br /> <br />----PaIolish <br /> <br />PROPQSED USE: ~iD&le F~ilT <br />_ec-ercial <br /> <br />---1l/F _' of Units ---1I/H <br /> <br />_Iodust. -5wia. Pool _O~er <br /> <br />Restauraat II Health Departaent Approval <br /> <br />DESCR1PTIOII or wou: ClJIUCtefr$ - .s/lEI:J- JP>>r/o - C)1IE?-PtJR-r <br /> <br />BUlLDD1G SIZE: 9 x J.J...... . )>c:20 Square Feet.Y;c7 'Reight <br /> <br />llESIDEllTIAL: ATTACII (2)' PLOT PLAIIS , (2) SETS OF BUlLDD1G PLANS &: (1) SET UERGYrOBMS. <br />CWlKERCLU.: ArtACII (3) SETS OF BUlLDUJG PLAHS , (1) SET ENERGY FOlUtS. <br />PROPERTY SURVEY B.EQUD,ED FOIl ALL HEW CONSTRUCTION. <br /> <br />'~ ., <br />--=:...BU1LJl)D1G <br /> <br />, . <br /> <br />$. JC:<I'D.OO <br /> <br />PERMITS REOUESTP..D <br /> <br />Valuatic. . of Total Coostruction <br />. I , <br /> <br />RT 'C.l'BICAL <br /> <br />UP Serv~ce <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-JlEQlAllICAL <br /> <br />$. <br /> <br />Valuation of Ilecbanical1D&ta11ation <br /> <br />-PLUKIBDlG <br />TYPB pr C::ol1S'QUCf.WII: <br />FDfISBBD FLOOR BLlVAUOIIS: <br /> <br />GAS <br /> <br />IlOOPD1G <br /> <br />SPECIALTY <br />Other <br /> <br />RJ.ot.:k <br /> <br />., <br />-J~ _Stee.l <br /> <br />FT. <br /> <br />IS PROJECT 111 FLOOD ZOHE ~, <br /> <br />YES NO <br /> <br />...~..~................................... <br /> <br />BIIYI.Dg <br /> <br />Sigoatur.~ <br /> <br />Rl RCTRIC:L6H <br /> <br />CoHPAHY ' <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />Si DnA turl! <br /> <br />PLUMBER <br /> <br />COHPABY <br />State Cert. or B.eg1st. . <br />City License B.egistration . <br />.......................................... <br /> <br />Sigoaturl~ <br /> <br />HECIWlICI\L <br /> <br />COHPAHY <br />State Cert. or Regist. I. <br />City License Registration . <br />.......................................... <br /> <br />Sigoaturl~ <br /> <br />OTRF.R <br /> <br />COHPAHY <br />State Cert. or Regist. . <br />City License Registration . <br />.............................-...-.......- <br /> <br />Signature <br /> <br />APPLlCATlOR APPROVED BY <br /> <br />PERKIT OFFICER. <br />