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<br />..... ..' ,... " <br /> <br />..'r <br /> <br />APPLlCAnOH FOR PBBKIT <br />CITY OP ZEPllYlUITT.T ~ <br />BUILDING DEPARTHEHT <br /> <br />OWNER'SNAKE /11/C)/qLJ-f- f/ttrR/~/A <br />OWNER'S ADDRESS SSI ~ 9z:tt S7: <br />JOB ADOJilF.5S . )' ,4- PJ IZ <br />LEGAL DJI~SClUP'tlO~,: LOT(S) BLOCK SUBDIVISION <br />PARCEL :(.D.I /j";'.!<4---:J/.:..CJO/[)._/tJd<CJo-O//O (OPT~IN ~OH PROr~". T~:~Ql'lCEl <br />,v<:" . . <br />WORK PROPOSED: )lew CoGatr:uction --..Addition ---..Alteration hpair _lD4taJ.l <br /> <br />~C,fL <br /> <br />PRONE ,~ <br /> <br />-.-----"""'";'""-... <br /> <br />Sian <br /> <br />~ve <br /> <br />---J)e.olisb <br /> <br />~ROPQSEll USE: -JiDale Fw.Uy <br />_eo..erci~ ' <br /> <br />. ---Jt/F _' of t4lita --JtJD <br /> <br />_~t. Sid.. Pool _Otl;Ler <br /> <br />Restaurant" Health. Departaent Approval <br />OESCRIPjL'[OB OF WOJUC: SC/€ L iDv ROOm ~ ~~O ~c) r <br /> <br />BUILDIIU: SIZE: /oL:x: /2-. ...?ttJ <br /> <br />Square Feet. ?.;" 1 ~ Beisht . <br /> <br />, f (. ~ '.,. " . .' , 1 <br /> <br />RESIDEB'JI~IAL: An'ACII :(2) PLOr ."LABS . (2) SETS OP BUILDDlG fUNS &: (1) SET BNERGYFORMS. <br />COMKERC:w.: ATTACH (3) SBTS,OP BUILDING PLANS & (1) SIn' BHERGY FORKS. <br />PIWPury suaVEJ, 1lEQUlR,ED FOR ALL NEW COltlSTRUC'tION. <br />. ; i ~ ".; , . <br /> <br />. . ~~~()~G <br /> <br />$. <br /> <br />I Lfrp ..t) () <br /> <br />PERMITS REOUESTF~ <br /> <br />ValuatiOfi' ,of Total Construction <br /> <br />RT ,BC:rRICAL <br /> <br />AHP Se;n~ce ' <br /> <br />Plorida Pow~r Col.-p. <br /> <br />W.R.E.C. <br /> <br />---1IEQlUICAL <br /> <br />$. <br /> <br />" <br /> <br /> <br />Valulltion of Kechanicallwitallation <br /> <br />-PLUlU1IHG <br /> <br />;, <br /> <br />c.\S <br /> <br />ROOPDlG <br /> <br />SPECIALTY <br /> <br />TYPE 9P COIISDucnOH: . <br /> <br />.' <br />Rl~, -"~ _Steel- <br /> <br />Other <br /> <br />nnsBEh FI.OOJl ELBVA'fIOIIS: ' <br /> <br />~ ',' .." .1'; , ~" ; ..-; <br />. ',,' " <br /> <br />FT. <br /> <br />IS PJWJEcr IN FLOOD ZONE ~T <br /> <br />'; <br /> <br />~ '. "': ' t" ' "!:' , <br /> <br />...,~:~;~!..~.................*...**.***.*..** <br /> <br />YES <br /> <br />NO <br /> <br />, ,I <br /> <br />';.; :~:'J ;..' '-, I' ; , <br /> <br />" : ",; ;" CONTRACTOR SECTION <br /> <br /> <br />:::..Pr~'..... .. ~~:;'O~~i{f~;~Ubk'6 <br /> <br /> <br />e*eee.*ee.***e.*....e*._ee*_**.***___*._.. <br /> <br />EI.ECTRIlZ[AI <br /> <br />I T.':"';"l ~. J <br /> <br />~ <br /> <br />Si QlUltq~;!~ <br /> <br />COHPANY . <br />StaCe Cert. or Regist. t LC' ~ . L ~"_/.:.,~ ..~ <br />City Licewte Registration t ~ ,5>- <br />****...**....c...*******..****.*_******.*. <br /> <br />PLUMBER <br /> <br />; , <br /> <br />COtiPAHY <br />'" State Cert. or 1leaist. . <br />, City License Registration . <br />.***.,..****.******-*-***,**._...*,---* **** ** <br /> <br />Signatw:.~ <br /> <br />( '.. ,I;, ,~_, ~ : . <br /> <br />HECIWp' ~;~U& <br /> <br />, " COHPANY. <br />State Cert. or Regist. , <br />City Liceoae Registration . <br />e**.e.e**.e**.....e._e__...e..*._e.*_e.e.. <br /> <br />Si.gDatw'~:l: <br /> <br />OTHF.R COKPAHY <br />" ". State Cerc. or Regist. . <br />SignatUl:'ll!: r-t" Licen&e RegistraCioll . <br />~~~ .............*......* <br /> <br />APPLI~,'1OII APPIllIVED ~ ~/ <br /> <br />PBRKIT OPFICER. <br />