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<br />L- <br /> <br />APPLICAnOR FOR PBRHIT <br />CITY OF ZEPIIIIUIILLS <br />BUD.DIRG DBPA1tTHBRT <br /> <br />.-/ ~ if \ ...}fl <br />S <br /> <br />ODBR'S 1WIB1J~\ ~ ~Gu.Mr'\-C <br />OWBR' S ADDDss 2ft I O~ ?1-Ih .~ <br />JOB ADDRESS 51105 q~!t* . <br /> <br />Sr('.,~ <br />~'1' \..J\5 I ~0 <br /> <br />PBORE <br />33'5+-0 <br /> <br />')33-~ntD: 72.1-~~ <br /> <br />LEGAL DESCRIPTIOR: LOT(S) <br /> <br />BLOClL--SUBDIVISIOB <br /> <br />PARCEL I.D.' ~ I ~d-~- \~ -tx:>d A - OiAAW-C08'lD <br /> <br />(OBTAIB FROM PROPERTY TAX BOTICE) <br /> <br />WORK PROPOSED:-Bew Construction ---..Addition ..A../Uteration ---..Repair _Install <br /> <br />_Sign <br /> <br />-JIove <br /> <br />--Peaolish <br /> <br />PROPOSED USE: Lsiogle F_i17 <br /> <br />----1t/F _' of Units ----1t/B <br /> <br />_ec-ercial <br /> <br />_Indust. ~wia. Pool _Other <br /> <br />Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTIOII' OF WORlt: ~!:f..lL s..;<;f."') loo.{.1L. ~ov(,.. \ \'^-~ ;)., 1Aj".J6'MJ5 r:wJ. l~) Sltoa-h-o::K <br />U-<b,e&.,Q. ~\-d:S ~c~) 'R~ A-,,..... <br />BUILDIRG SIZE: 5-:+- X ,see , "1 )D()Y\'\OL- Square Feet, J, I Height ~(' ey,r\ €'""r5ti ':fI.. &..t~ l.-L.r'\.A- <br />lief<. )l.c U <br />RESIDEIITIAL: ATrACH (2) PLOT PIABS &: (2) SETS OF BUILDIRG PLAIlS &: (1) SET EBERGY POlUfS. <br />COMKERCIAL: AtTACH (3) SETS OF BUILDIBG PIABS II (1) SET DIRGY FOlUIS. <br />PROPERTY SUB.VBY REQUIRED POR ALL BEW COBSTRUCTIOB. <br /> <br />PERMITS REQUESTED <br /> <br />hUILDIBG <br /> <br />$ <br /> <br />8. (j C)(:J ,em <br /> <br />Valuation of Total Construction <br /> <br />~CAL <br />--,k;amCIWIICAL <br />---PLmtBIIiG <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.B.C. <br /> <br />$ <br /> <br />tJJ-~ .ou <br />GAS <br /> <br />Valuation of Kechanica1 Installation <br /> <br />ROOPIIIG <br /> <br />SPBCIALTY <br /> <br />TYPE OP COII'STRUCTIOII: -..Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FDISBED PI.OOIl BLBVAnOIl'S: <br /> <br />n. <br /> <br />IS PROJBct III FLOOD ZOO AREA' -X.. <br />YES '10 <br /> <br />.......................................... <br /> <br />Sigoature <br /> <br />COIflR4C'l'OR SECTIOB-' <br /> <br />mtlPAIIY M.<< l 5~;---II6't;ier IIOCA-JrV&K ' <br />State Cert. or Regist.'''' . ( <br />City License Registration . <br />.... .................................... <br /> <br />=:n ~. COHPABY~)P(/l~;<; --r;-.zn~ti~( , <br />.... State Cert. or Regist. , <br />""- -" ,^AAA.UO Cil;)' Licease Recietration"' :'\2.K <br />-- ~. .............................:...... ----- <br /> <br />PLlIIBER COHPARY <br />'<;;;:::- State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />BMI.nD // <br /> <br />Sianaturev:: ~ <br /> <br /> <br />IIECIIAlfiCAL <br /> <br /> <br />GN 't~ <br /> <br />State Cert. or gist.' 6() <br />City License Registration f <br />.......................................... <br /> <br />COHPABY <br /> <br /> <br /> <br />SigoatureV <br /> <br />OTRRR <br /> <br />APPLlCAnOB API'BOVBD BY <br /> <br /> <br />COHPABY <br />State Cert. or Regist. . <br />City License Registration . <br />............................. <br /> <br />Signature <br /> <br />PBRHIT OFFICER. <br />