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<br />APPLICATIOB FOR PDKIT <br />CITY OF ZEPIIYIlIIIu.5 <br />BUlLDDlG DEPAIlTHEBT <br /> <br /> <br />_'S __ ~ K,zrLl. ~ 'M~'\l PIIOIIIl <br />_'S ADIIUSS $mq L lSLlJ"il?. 2~P"feJ/.L/L' <br />JOB ADDRESS ~~f)9 G;..A{.,(_ ( 6Ub..) Z~~- <br /> <br />LEGAL DESCR.IP'1'IOB: I.OT(S) <br />PARCEL I.D.' t -z.,(g-2.J-eOlO-- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />won PROPO:;ED:~ew Coostruction <br /> <br /> <br />___.Jlepair _Install <br /> <br />--1Ji8ll <br /> <br />--.-JIove <br /> <br />----Peaolish <br /> <br />_Induat. <br /> <br />~wia. Pool <br /> <br />~/H <br /> <br />ve;ther <br />~Dl2.-'~2 -32 sr. <br /> <br />PROPOSED USE: <br /> <br />~ina1e Feaily <br /> <br />/eo-erCial <br />zJ? S1==, <br />___.Jlestaurant Ii Health Departaent Approval <br /> <br />----It/ F <br /> <br />_' of Units <br /> <br />DESCRIPTIOB OF WOlU(: <br />2- '1-..... 14 <br />BUlLDDlG SIZE: 4 X "X <br /> <br />d ) Ie, 8!;; <br />.32-) f) Square Feet,' .'.. ' <br /> <br />Height <br /> <br />llBSIDBIITIAL: ATTACH (2) PLOT PLABS Ii (2) SETS OP BUILDING PLAIIS Ii (1) SET EBBIlGY FORMS. <br />COItHEIlCIAL: ATTACH (3) SETS OP BUlLDIIIG PLAIIS Ii (1) SET EIIBIlGY FOBHS. <br />PROPERTY SURVEY IlBQUIBBD FOR ALL NEW COHSTRUCTION. <br /> <br />. PERKITS REOUESTED <br /> <br />bUlLDllIG <br />j lU.RC'l'lUCAL <br />bClWf1CAL <br />Ln~~G <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$. <br /> <br />Altk- <br /> <br />Valuation of llechanical Installation <br /> <br />GAS <br /> <br />IlOOPIBG <br />/Fraae ~teel <br /> <br />-.JiPECIALTY <br /> <br />TYPB ()P OOBSUUCfiOB: --Block <br /> <br />Other <br /> <br />t'IIJISIIBD FLOOll ELBVAnOBS~ <br /> <br />IS PROJECt IIi FLOOD ZOBB AREA! ~ <br />YES QY <br />.......................................... <br /> <br />Fl. <br /> <br />I <br />(p11:UUIB. <br /> <br /> <br />OOBTRACTOIl SBCTION <br /> <br />OOHPAIIY CUM &..-If; <br />State Cert. or Regist. . <br />City License Registration , <br />.................................. <br /> <br /> <br />o <br />~ <br />\\ \) 'RuII.DKIl <br /> <br />Signature <br />.? <br /> <br />Signature <br /> <br />COHPABY~ ~k' t=-~~L <br />State Cert. or Regist. . <br />City License Registration' /4(0 I <br />............................~.........~~ <br />"f(U.0+- S t' \ l~ b'( <br />COIIPAIIY <br />tate Cert. or Reaist. . <br />C License Registration . <br />.........a*****.......... <br /> <br />/ <br /> <br /> <br /> <br />~~ ~ ~ABY <br />State Cert. or Regist.',.(l 'd;( {) <br />Sipatur--- u - ~=;.fJ -: -~ City Liceose lleaistrati"':;'u~~ <br />- . .......................................... <br /> <br />OTRRR COHPAIIY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATIOII IiPPlOVED iy PDKIT OPFICER. <br />