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<br />
<br />APPLICAnOH FOR PEBKIT
<br />CITY OF ZEPHYIWILLS
<br />BUlLDUG DEPAR1.'HEHT
<br />
<br />OWNER'S 'NAKK /}JIJ ~g~,R r
<br />OWliD'S ,ADDUSS1..tJ1"- / 3?tJ66 A/7t~A/LJ/J A tJ'cJ.P
<br />JOB ADDRESS SJ9J1Jc'
<br />LEGAL DRSCUPnOH: LOT(S) BLOCK SUBDIVISION
<br />PARCEL I.D." /1/-- ,;) t>"~;;;l- O/~O ... Ot:9C/t?O-O~' (OJTAIN FROM PROPERTY TAX .liQTICE)
<br />'v.'" . .
<br />WORK PROPOSED: Hew Coaatruction---JdditiOll --....Alteration ~pair _ln4ta1l
<br />
<br />PHONE
<br />
<br />,.----..'".--'----.""
<br />
<br />S18Q.
<br />
<br />.; " ~
<br />
<br />,~ve
<br />
<br />---Pe.olish
<br />
<br />PROfQSED USE: ~itaale F~il.T ,,----JiIF
<br />
<br />_'. of ,Units ----Ji/D
<br />
<br />_eo-ercial
<br />
<br />_~t.
<br />
<br />Swia., Poo~ ,_O~er ,
<br />
<br />Restaurant 5 Health Departaent Approval
<br />
<br />DESCIlIPT~OY OF WORK: Cop~E/L.'~ <SHED - .JZ~ EI5P .Ra1~- ('/J;efJt?Rr-- f//}71IJS
<br />
<br />BUI.LDIHG SIZE: IS:x,6, 90 Square Feet. CJro /tJ ~eiaht"
<br />
<br />, . ' ~ '.'" , < (
<br />llESIDEHTIAL: AnACII (2) PLOT .I'1AHS , (2) SETS OF BUI.LD1JiG PLANS , (1) SET BNERGYFORHS.
<br />C<>>iKERCIAL: AtTACH (3) SETS,OP BUI.LDDlG PLANS. (1) SET IHERGY POaKS.
<br />PROPEBrY SUIlVEJ UQU1UD FOll ALL NEW CONSTRUC'lION.
<br />
<br />PRRMITS JEO~TP.D'
<br />
<br />. . 'I.~~} "
<br />
<br />"/'",
<br />_BUlLIDlYG ,
<br />
<br />/O,6/tJ.Oo
<br />
<br />ValuatiOa' of Total Coutruction
<br />I ,
<br />
<br />RI..EC'mICAL
<br />
<br />UP Se~~ce ,
<br />
<br />, Florida Power Corp.
<br />
<br />W.R.E.C.
<br />
<br />--1IECIWUCAL
<br />-PL1H8DG
<br />,TYPB 9P COIlSTlUJCnOH: ,
<br />
<br />$.
<br />
<br />V~tion, of KechaDical Installation
<br />
<br />GAS
<br />
<br />ROOnHG
<br />
<br />SPECIALTY
<br />Other
<br />
<br />.'
<br />:Jloek, --F~
<br />
<br />Steel
<br />
<br />FIJlISBED FI.OOIl ELBVAnollS:
<br />
<br />; . ',:" ... . ". i . ~ ''''
<br />
<br />P1'~
<br />
<br />: IS PlWJECT Df FLOOD ZONa ~,
<br />
<br />'.::' I '
<br />
<br />YES
<br />
<br />NO
<br />
<br />...~~~~..~................................
<br />
<br />"I :. j ,
<br />
<br />DITTmER
<br />
<br />. .,::" CONTRACTOR SECTION
<br />, ' , , '" " ", ," . .f , ;/lLt:..AL u /'1
<br />,~L...' .' ~~~~:~~.e,e~(Jjlf.K'b
<br />
<br />.................................*.*....*.
<br />
<br />Signature,
<br />
<br />EI..ECTRIC:[Al{
<br />
<br />, ,," '! COHPAHY .
<br />StaCe Cert. or Regist. ,
<br />CiCy License RegisCrationt
<br />...................._..._......*..**.*****
<br />
<br />S i anA tur.~
<br />
<br />PLDMBF.R
<br />
<br />CO!fPANY
<br />State Cert. or &eaist. .
<br />City License Registration .
<br />***.~*,*.**.** ***....*..*.,***...**..***.****
<br />
<br />Signatur.~
<br />
<br />HF.CHAHT CJ\L
<br />
<br />, COHPAHY
<br />State Cert. or Reaist. .
<br />City License Registration.
<br />.................._.........**......*....*
<br />
<br />Si&Datur.~
<br />
<br />0TIl~
<br />
<br />COKPAW
<br />State Cert. or Resist. .
<br />r.~ . ..r License Resis tratioll .
<br />..............*~ ~.......*..*.*.*.**..
<br />
<br />Signature
<br />
<br />APPLlCAT10H APPROVED BY
<br />
<br />PERHIT OFFICER.
<br />
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