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<br />APPLICATION FOR PERHIT ~~/)'Kfl).J1 - crO
<br />CITY OF ZEPIIYRBILLS ~ P - q 1.-;-[0 ~ g ~ . 'j /
<br />BUIlJllRG DEPAB1'HEIIT UtfL 1-,r If' ~
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<br />OWNER'S lWtEt3A'j I/r.U_K'~c73uILDG{2~ -r:~/C PHONE (8i~ ) QQ/-73bfo.
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<br />OWNER'S ADDUSS /qfoSf RlZuC'f:.. :.8. I'>flL.l)d<;'aV1J ..3-rE. E.-fa,"
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<br />JOB ADDRESS (0806 ~1'~M.!S ~r\
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<br />LEGAL DESCRIPTION: LOT(S) '~1 BLOCK SUBDIVISION .5::r:L.v€:.i2 c..JAt3 /IIt9.S€-:zr
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<br />PARCEL I.D.' 3 - 2..(cr? 1- 0/60 - ()OC:DO- o~4 0
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<br />(OBTAIN FROM PROPQ.TY TAX NOTICE)
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<br />WORK PROPOSED:~ew Construction ---..Addition --..Alteration ~pair _Install
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<br />_Sign
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<br />--...JIove
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<br />---Peaolish
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<br />PROPOSED USE: ~Sing1e Faaily
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<br />--...JI/F _, of Units ---.Jt/B
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<br />_ec-ercial
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<br />_Indust. _Swia. Pool _Other'
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<br />_____estaurant It Health Departaent Approval
<br />DESCRIPTIOB OF WORK: .:51~GtE:. rAM'~ 'K.-cs.
<br />BUILDING SIZE: Sip' i xtdn'2-. 281 b Square Feet. iBlb~ Height
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<br />RE5IDEI1TIAL: ATrACII (2) PLOT PLANS It (2) SETS OP BUILDING PLANS It (1) SET BURGY PORMS.
<br />COMMERCIAL: ATrACII (3) SETS OP BUILDING PLANS It (1) SET ENERGY FORMS.
<br />PROPERTY SURVEY REQUIRED POR ALL NEW CONSTRUCTION.
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<br />PERMITS REQUESTED
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<br />..2L.BUILDING
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<br />-70
<br />$ I ,oOD
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<br />Valuation of Total Construction
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<br />" '
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<br />X. IU.RCI'RI.CAL
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<br />1-=;0
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<br />AKP Service
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<br />>< Plorida Power Corp.
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<br />W.R.B.C.
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<br />~CIIAlUCAL
<br />~UKBING
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<br />$ 3,/'00
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<br />GAS
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<br />Valuation of lIecbanica1 Installation
<br />~OOFING SPECIALTY
<br />_Praae _Steel Other
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<br />TYPB OF OOBSTRUcnON: .L.Bloclt
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<br />FIllISBED FLOOR ELBVAnONS:
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<br />Fl.
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<br />XS PROJECT IN FLOOD ZONB AREA'l ' L..
<br />YES 'NO
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<br />CONTRACTOR SECTION-
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<br />IIIJLDIlR d... ~ lUIPAIIY :BA'J th.U.GE ~LS .-;r",... ,
<br />State Cert. or Regist. . c.p. , /') - ,-
<br />Sigoature 1t1. / City License Registration . -O;~~3r
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<br />IU.RCTRICIAlI COIIPANY ..s 4--5 ~c:r~c:.... ..
<br />~a ~ 5l:ate Cert. or IIegist. . """Cf:(32
<br />SitnlAt , ~ . City License Registration', 3,00
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<br />PLUMBER COIIPABY HfJRJ1.01<J l --r;;P,r r& f:1..vI1fl> I~~
<br />J /J .-1 / ~J. ./ State Cert. or Regist. t !f:.Fb/Ob'\
<br />Signature ~JfL,d/VM- U City License Registration' 1.3/
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<br />IlECIIANI~ COMPANY A,1<,C, A-Lf? C'nlJD.
<br />.r==::::L State Cert. or Regist. , ('..AC!....0'':1,.2.N}
<br />Sigoat .-r ~ ---- City License Registration, 2.9. <;
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<br />OTRRR
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<br />COIIPANY
<br />State Cert. or Regist. t
<br />City License Registration ,
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<br />Signature
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<br />APPLICAnOli APPROVED ay
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