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<br />.,-,-~..---......,..-..,-~,.",~,....- <br /> <br />--"",.,.. .ry;-.~-~'-'''-_.~-''.'--'''''''-~''''''' --,. <br /> <br />. ---""~-"-''''''--;'-''''''''''''-''''''''--~_'''''~1'',,--,...........~~_--.;_ .... ~ <br /> <br />......... .... <br /> <br />,~;''J,,, <br /> <br />APPLICAnOIl FOR PEBKI.T <br />CITY OF ZEPBYRIIILLS <br />BUILDDlG DEPAlmIEBT <br /> <br />0WlIER.' S ADDllESS <br /> <br />Jo~V\ VOV~'2. <br />II? \~ 7 ~\ lvu <br />~ ~ VYH' <br /> <br />PROHE <br />l)c'\k-~ ":by'",v<.. " b~"''ivy-'I, \ \s.. <br /> <br />i-?J/) .9574 <br /> <br />OWHER.' S HAHE <br /> <br />.\==L <br />, <br /> <br />~3 S4- I <br /> <br />JOB ADDRESS <br /> <br />'- <br /> <br />LEGAL DESCRIP'1'IOH: LOT(S) <br /> <br />B~SUBDIVISIOH <br /> <br />PARCEL LD.' I\~. U. 2...\. ll\'2.0' DOOOO. O[)c:;O (OBTAI. FROM PBOPERTY TAX HOTICE) <br />........~~.\~..o-\- <br />WORK PBOPOSED:~ew Coastruction ----Addition --.-Alteration ~pair _Install <br /> <br />--.Jjian <br /> <br />--..JIove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: ,kjiD&1e Faaily <br /> <br />_eo-ercial <br /> <br />---J'l/F _' of Units ---J'l/B <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIP'1'IOII OF WOJUt: <br /> <br />.-Jestaurant i: Health Departaent Approval <br />( '\ :-It' +r ,ac oH "j <br /> <br />bV\\ vt~ \ I( ~" - ]to v-\ <br /> <br />BUILDDlG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />COMMERCIAL : <br /> <br />AT!ACII (2) PLOT PLAHS i: (2) SETS OF BUILDDlG PLAHS i: (1) SET ERERGY FORMS. <br />AnAaI (3) SETS OF BUILDDlG PLAHS i: (1) SET EllERGY FORKS. <br />PBOPERTY SURVEY KEQUIRED FOR ALL HEW COIISTRUCTIOH. <br /> <br />PERKITS REQUESTED <br /> <br />~UILDDlG <br />~CAL <br />---llECllAlJICAL <br />~1IIBDG <br /> <br />$ 41 nl) .aO <br /> <br />Valuation of Total Construction <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of llechanical Installation <br /> <br />GAS <br /> <br />ROOFDlG <br /> <br />SPECIALTY <br /> <br />TYPE OF COIISTRUCTIOII: ----..81oc1t _Fraae _Steel <br /> <br />Other <br /> <br />FIIIISBED PJ.OOR ELEVAnollS: <br /> <br />Fr. <br /> <br />IS PBOJEC1' III FLOOD ZOO AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CORTRACTOR SECTIOR <br /> <br />RIJTI.DO <br /> <br />Signature <br /> <br />COIIPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RI.RC'l'RTr.T AU <br /> <br />COMPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Sionature <br /> <br />PLmmER. <br /> <br />COKPABY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Sigoature <br /> <br />IlECBAIIICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />Sigoature <br /> <br />O'I'IIRR COMPANY-.ili\ \ \~ CuVt~tnuh u v11 ) ~ C <br />,,/ ~ ~ ./'7#-4 J State Cert. or Regist. . [<( . U)c;c,"Lj ~ <br />Sigoature/\ ~~~~H-#~7 City License Bea1stration' ~l <br />~ .......................................... <br /> <br />APPLICAnOIl APPROVED BY <br /> <br />PEBKI.T OFFICER. <br />