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<br />. . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYlUIILLS <br />BUlLDDJG DEPARTHENT <br /> <br />- <br />. k .~ <br />q' ~ CV <br />\;Y~~( ~' <br />99/-7??b <br /> <br />JOB ADDRESS <br /> <br /> <br />PHONE <br /> <br />^ PIJAS-e <br />LEGAL DESCIUP'1'ION: LOT(S) 5 / BLOCK..:rr SUBDIVISIO <br /> <br />PARCEL I.D.' :?-d) b-~/-oJ6() -- OOaYJ-OS?O (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOsm:XJew Construction ---..Addition ---Alteration --Repair Tn_tall <br />_Sign ----Hove ---Peaolish <br />PROPOSED USE: LSinale F~ily --.Jt/F _' of Units --.Jt/B <br />_ec-ercial _Indust. _Swia. Pool . _Other" <br /> <br />Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: :;1.P7Le. ;C;qnuLv ~ <br />(/ / <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: A1TACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLABS &: (1) SET EDRGY FOIUtS. <br />GOHKERCIAL: ATTACH (3) SETS OF BUILDING PLABS &: (1) SET ENERGY FOBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />----.J)UlLDING <br /> <br />$ ~~Cf)OO <br />, <br /> <br />RI.R.CTRICAL <br /> <br />/~o <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />X Florida Power Corp. <br /> <br />"f' <br /> <br />N.R.E.C. <br /> <br />-JlECBAInCAL <br /> <br />$. C). &J OCJ <br /> <br />Valuation of tlechanica1 Installation <br /> <br />----YLUtlBING GAS sl./~P ROOFING <br />TYPE OF mBSTB.ucnON: X Bloclt _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDIISBED FLOOR ELEVAnOIIS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l <br /> <br />YES . NO <br /> <br />.....................................***** <br /> <br />BUTlllER <br /> <br /> <br />CONTRACTOR SECTION' <br /> <br />lDIPAIIY ~ ~-,g~ <br />State Cert. Regist.' ceCO '?9<g3 <br />City License Registration . J 9..!-.~ <br />*..........*.........**....*.*..*.****** <br /> <br />Signature <br /> <br />RI.RCTRICIAR <br /> <br />Si-ture JJ..~ (A <br /> <br />\. <br /> <br />. COMPANY 5+5 Ekf~V(~ . '. <br />~ ,State Cert. or Besist.' I:' ~~ :ii: <br />~ . --- City License Registration'. ..:?Cy"") <br />.** ***************.*********.*********** ' . . <br /> <br />PLUMBER <br /> <br />COMPANY <br />. ~~ .J LJ -~ State Cert. or Regist.' /0 <br />A;/ ~. - City License Registration' <br />, <br />****************************************** <br /> <br /> <br />Signature <br /> <br />1IIlCIWIIG6L _ ~ lDIPAIIY <br />State Gert. or Regist. . <br />Signature d JA '. City License Registration f <br />**.*...*.........*................**..*.*. <br /> <br /> <br />OTRR.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.....***.******************.*.*.********** <br /> <br />APPLICAnOH APPROVED BY PERKIT OrnCR. <br />