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<br /> <br />APPLICATION FOR PEBHIT <br />CITY OF ZEPBYlUIILLS <br />BUILDIJIG DEPARTKERT <br /> <br />OWNER' S IWIE 'Y'v 61'/ CJ or Aoll<< CL a.1I~'f. Q --e. ~ '-( ~E PHONE <br />OWIIER' S ADDUSS .3 7' 3 / " 9 ~ 41' <- <br /> <br />JOB ADDRESS <br /> <br />same <br /> <br />'- <br /> <br />LEGAL DESCRIP'1'ION: LOT(S) <br />PARCEL I.D.' J).. U,;1, t'J'bcH:l oOl'lOO <br /> <br />BLOCIL.-.SDBDIVISION <br /> <br />a39'O <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ~ition ----.A.lteration -.Jlepair _Install <br /> <br />_Sign <br /> <br />--Ifove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Siogle Faaily <br /> <br />--.J{/F _' of Units --.J{/H <br /> <br />_ec-ercial <br /> <br />_Indust. ..L-.Swia. Pool _Other <br /> <br />-Restaurant & Health Departaent Approval <br />DESCRIPTIOIl OF WORK: CONCRETE POOL DECK SCREEN <br /> <br />BUILDIJIG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDEI1TIAL: <br />cotIKERCIAL : <br /> <br />ATTACH (2) PLOT PLAIlS & (2) SETS OF BUILDIIlG PLANS &: (1) SET ENERGY FORKS. <br />ATTACH (3) SE'lS OF BUILDIJIG PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />~UILDIJIG <br /> <br />$ <br /> <br />J t;'l't ((. () () <br />16514.00 <br /> <br />PERMITS REQUESTED <br /> <br />Va1uation of Total Construction <br /> <br />_ELECTJUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />H.R.E.C. <br /> <br />HECIIAlIICAL <br /> <br />$ <br /> <br />Va1uation of Ilechanica1 Installation <br /> <br />-PUllBDG GAS ROOFDlG <br />TYPE 9F OOIlSD.UcnOIl: ___lock _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDIISIIED P.I.OOIl ELEVATIOIlS: <br /> <br />FT. <br /> <br />IS PRO.JECr III FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />COIITRACTOR SECTION <br /> <br />RIlTI.DER COtIPAIlY HOMETOWN POOLS INC <br />~ \ State Cert. or Rqist. . CPC 025542 <br />Signature . ~ "\ City License Registration' ~ / 7 <br />.......................................... <br /> <br />~~ ~~ENNIS TRZNADEL ELEC. CONT <br />~ State Cert. or Ilegist. . 2fjJ <br />ure' .~JtJ City License Registration' ;t3~ <br />v .......................................... <br /> <br />PLllMBRR <br /> <br />COtIPAIlY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br /> <br />Signature <br /> <br />cotIPARY <br />State Cert. or Regist. . <br />City License Registration f <br />................................. <br /> <br />A7) <br /> <br />OTRRR cotIPAIlY H A WT, F. Y A LTTM . <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATIOIl APPROVED BY PERMIT OFFICER. <br />