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<br />.i APPLICATION FOR PERMIT
<br />CITY OF ZEPlIYRHILLs
<br />BUILDING DEPARTMENT
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<br />PllON~ 11(3 -l.ot 2'3'
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<br />OliNllR 'S NAIIIL 'PACA-l i \-Ji l; A. ~bs.. '"
<br />O~ER' SADDIlIlSS 5bif "" lJ120 ~ c: t-
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<br />LEGAL DESClUPTION: LOT(S)
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<br />BLO~
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<br />SUBDIVISION ~se~ c?gw-k-~
<br />(OBTAIN FROIl FRO~ER1"(TA>;~OrIC~)
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<br />PAR<;EL I.D.#,.,
<br />'~Wx" PROPOS~';~ Construction ---.Addition --..Alteration
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<br />_Sign
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<br />---Jfove
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<br />-Repair-' _Install
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<br />_Demolish
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<br />PROPOSED USE: _Single FWIlily
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<br />-' of Units
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<br />_MIll
<br />~er~p.~
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<br />_Indust.
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<br />_Swim. Pool
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<br />. ~.' ' .:....-Re~s~urant & Health Department Approval
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<br />DESCRIPTION OF WORK: ClA....c...~
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<br />BUl:LDI1lGj SIZEr:';}) 'I lit I 'I ,....4..<::,6 Square Feet. 0 Height
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<br />:ATTACH (2) PLoT PLAIIs & (2) SRTS OF BllILDING PLANs & (1) SIlTEllER<n' FORIfS.
<br />COHllRRCIAI.' ii "ATTACH (3) SETS OF BllILDING PLAIIS. & (1) SIlT ENER<n'FORHs.
<br />'.. ,.; i.' ""PROPERTY SURVEY REQIlIRED FOR ALL NEW CONSTRUCTION.
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<br />, ....BUILDING
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<br />$ (PSOO
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<br />PERM1:TS RF.OUEST&I!
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<br />" ELECTRICAL
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<br />Valuation of Total Construction
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<br />AMP Service
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<br />, . HECHAHrCAL
<br />-
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<br />$
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<br />Florida Power Corp.
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<br />W.R~E.c.
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<br />Valuation of Mechanical Installation
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<br />SPECIALTY
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<br />FINisHED FLooR ELEvAnONS: '
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<br />FT.
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<br />Other
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<br />, ~ONTRACTOR SECTIQN
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<br />.:llurtoRlI' COMPANY ole'! ~ II( r.OIlrBTRnr.TMIIr . 'lire.
<br />,", , i'\ State Cert. Or Regist. # CBC 035134
<br />"O)'SigriatUr 'i .,.' '.. City License Registration # 274
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<br />IS PROJECT IN FLooD ZONE AREA?
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<br />YEs
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<br />NO
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<br />.fLUMREa
<br />Signature)':\- ,
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<br />COMPANY fklt.1I,j f[ /02
<br />State Cert. or Regist. #~
<br />City License Registration #
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<br />COMPANY
<br />M LA State Cert. or Reglst. *
<br />. City License Registrstlon #
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<br />COMPANY
<br />State Cert. or Regist. #
<br />City License Registration q
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<br />~LtCATION APPROVED BY
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<br />COMPANY RYMAN, CONSTRUCTION, INC.'
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<br />State Cert. or Regist. tJRC- 0061648""""';'"
<br />City License Registration # 58 "_;,"
<br />************************************
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<br />PERMIT OFFICER.
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