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<br />... <br /> <br />APPLICATION FOR PERK!T <br />CITY OF' ZEPUYRUILLB <br />BUILDING DEPARTHBNT <br /> <br />OWER I S N~ Cil thy; PQ,~G'--~-___ ... _.~ , PHONE J 783- 71 85 <br />OWNER'S ADOREBS_.}962} M_~~~pd Lqop, ZephY.~g2:.~.~.~L,,33540 <br /> <br />~- <br /> <br />Joa ADI)RBS8~ <br /> <br />Same as above. <br /> <br />'.....---.-...'----..---.......-.. <br /> <br />LIO.\L D.I$C!UPT.lON; WT(S )~__-.-_8LOCl\....._....sunDIVISION.!!~dO~?9d E s ta tes <br /> <br />PARCEL LD.', <br /> <br />--..._- <br /> <br />~...._.._-.._--...--- <br /> <br />{QnIAIlLlA2tLJ?B.O~BB'l'Y tAX tiQI1kll <br /> <br />won PROPOSEDI_New Corat:ruCtiOll ---.ft.ddi ticm -----lUter-otton --Repai1- X~Iwit911 <br /> Fence <br /> ----1i ian __Jove _---P~Qlish <br />PROPOSED US~; --Singh Fmdly ~./p _' of Units -Ji/n <br /> _eo.erc1al _Indus t. _Swill. Pool _OcheX" <br /> <br />--Restaurant. & lIcalth Dept!rtJ:ieut Approvsl <br /> <br />DESCRIPTION OP WORK:... Install Fence <br /> <br />f&___'__....--__.__ <br /> <br />BUl1.UlHG BIZR: <br /> <br />.x <br /> <br />_..3<Iwu:e Feet,_-Re1ght <br /> <br />RES lDKrn'IAL; <br />COftMERClAL <br /> <br />ATTACH (2) PLOT PI.ANS .i (2) SETS OF BlJILDING PLANS & (1) Sin' BHlU1GY FORtiS. <br />ATTACH (3) SETS OF BUILDING PLANs & (1) BET ENERGY FORMS. <br />PROPERTY SURVEY REQUl.RED FOn ALL NEW CONSTRUCTION. <br /> <br />~I5 ~OUES~ <br /> <br />----..BUILDING <br />Kl.EcnuCAL <br /> <br />$1.516.73 <br /> <br />____Valuation of Total Constnlction <br /> <br />~--IJ:f1' Service <br /> <br />Y lorida Power Corp. <br /> <br />__".R,B.C. <br /> <br />--1IECHARlCAL <br />~UG <br /> <br />$-- <br /> <br />V41uation of Me~lic~l Installatiuu <br /> <br />GAs <br /> <br />...ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE Of OJfI:iTllUCTlOlti: -Dlock _~rGllle _Steel <br /> <br />xx <br /> <br />_Otb~r <br /> <br />FIIII.5UD lWOK ELEVAtIONS: <br /> <br />....1I"f . <br /> <br />IS PROJECT IN FLOOD ZONe AREA? <br /> <br />.*O.~At.*~~~*....*t.*.$...****t..*.**...~. <br /> <br />YES NO <br /> <br />GQNTRACTOR SECUJai <br /> <br />BlJI(j)g <br /> <br />COKPANY. ,. <br />se.te Cert. Qr Reglet. .____ <br />51RnAtut"c __.____~,__, n____ City License Reabtrat10n . ___- <br />**.*.&*t.~*...~.~~.*~~.......~**.*ft.....*. <br /> <br />-- ---- <br /> <br />-~ <br /> <br />--....- <br /> <br />JU.RC'l'RI GUB <br /> <br />COHPAUy_____. _ <br />State Cert. or Regtat. . <br />......-- City L:lceMc Resistratiou f <br />o~~.~.*..ftot*...~...**._~**~...t.......... <br /> <br />S{AnAt~e <br /> <br />~I..UKRKR <br /> <br />COMPANY" _.__,_ , <br />~ State Cert. or Real_t. .__________ <br />. .~--_ City LtcCl18c Ueaist.ration f __... ..~.., <br />~e...**...~*****a.~~..*....*.~*~.*.t.....o <br /> <br />5 igna t.ure <br /> <br />UaIAN1 CAt <br /> <br />COMPANY,. <br />StAte Cert, or Reg16t. . <br />~--_._-___ City License RegistrAt.ion , __ <br />~*.......*~~*AftA~~.~.....~.....*.**.*.*... <br /> <br />Sipature <br /> <br />mill <br /> <br />Hsnature <br /> <br />COMPANY Danielle Fence Mfg. Co., Inc. <br />State c;;t. or R;gi8t. f ~:P12T" ~ .,~- <br />. ---- City l.icense RegistrAtion t ~ I ~.2- <br />........*~...*.t..*.****...........**o.... <br /> <br />\PPLICAnON APPROVf~ III __ <br /> <br />PE.RlflT OFFICER. <br />