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<br />" . . ... <br /> <br />APPLICATION FOR PERKIT <br />CI'IY OF ZEPBYImIILS <br />BIITUnBG DEPAR'I'JPtENT <br /> <br />OWNER · S lWt.E ..:J~ &1-/77/,4 PA77/".e (6~ 6e) PIIOl'iE ,8/3 7g~ . 80/;/ <br /> , <br />0WlfER · S ADDRESS ~'f'7S /) /4U, ST; z...,~A Yb'J///S :PI ..33S~,t) <br /> , <br />JOB ADDRESS -);51/ /441 S.7: <br /> <br />LEGAL DFSCRIPTIOlM: wr(s) /~ I'; I..S <br /> <br />BLOCK 7.3 SlDBDIVISION PLAT" A~~K -# / PI16'E .54 <br />, <br /> <br />PARCEL I. D.' / I -;l.6 - d.-/ - 6 U / 0 - (J &, <S 0 {) - 0 / / 0 <br />/ ~. <br />WORK PROPOSED:~lIew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_I!tove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ./ Sing1e F~ily <br /> <br />_a/F <br /> <br />_' 0:1 Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swi8. Pool <br /> <br />Other <br /> <br />-..Jles1:aurant &: Hea1t:h Departaent Approva1 <br />,6e6,e/~ <br />BUILDIRG SIZE: X tj ~ /J Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cottKERCIAL : <br /> <br />ATTACH (2) PLOI' PI.ARS &: (2) SEIS OF BUlLDDiG PI..!UiS &: (1) SET ENERGY FORMS. u <br />A1TACD (3) SEIS OF BUllDUG PI.ARS &: (1) SET ENERGY FORKS. ** <br />......COpy OF CONI'RAcr REQUIRED. <br /> <br />-LBUILDING <br /> <br />PRRKITS REQUESTED <br />.fI /J77~ /;rt,?S <br />$ 1.5/)0, tMJ Va1uation 0:1 Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAlfiCAL <br /> <br />$ <br /> <br />Va1uation 0:1 Hecbanica1 Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOII: _Block / Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR EI..EVATlONS: <br /> <br />FI' . <br /> <br />IS PROJEcr IN FlOOD ZONE AREA.? <br /> <br />YES NO <br /> <br />...........................****...*****...*...........................................***....* <br /> <br />aJJn'RACI'OR SECTION <br /> <br />Signature <br /> <br />COIIPANY <br />State Gert. or Regist. , <br />City License Registration , <br />......*......********...**......*...*...*.........*................**...*...**** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />COIIPMY <br />S1:ate Cert. or Regist:. , <br />City License Registration I <br />......*****...************...*****...*.........*............***...** <br /> <br />Sif!ll3ture <br /> <br />Signature <br /> <br />COIIPANY <br />State Ceri:. or Regist. 4# <br />City License Registration I <br />*.........*********************.........**.........*......****** <br /> <br />PLUKBER <br /> <br />KECllANICAL <br /> <br />Signature <br /> <br />COIIPANY <br />S1:ate Cert. or Regist. I <br />City License Registration I <br />...***...***********...******......***...************* <br /> <br />011IER. <br /> <br />Signature <br /> <br />COIIPANY <br />S1:ate Cert:. or Regist:. , <br />City License Regist:ra~ion , <br />*..........***.................*......~........*...... <br /> <br />~ g/l~ <br /> <br />APPLICATION APPROVED BY <br /> <br />7/ IUI\.-(1 <br /> <br />PERKIT OFFICER. <br />