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<br />APPLICATIOlNl FOR PERKIT <br />CITY OF ZEPBYRIIILLS <br />BUJII.DlliG DEPAR1'1!If!.lNIT <br /> <br />OWER'S NAKE m-e/VJ'/I) f toue {Ia ~O H tv 50V~} <br />- ? r t, /J v-c..... <br />? r + /!It'~ <br /> <br />LEGAl. DESClUP1'IllIIg tareS) / ~ IlI.OCI<: ~SDBDIVISION 2.y I~r :- 'J';(1t, ~"I LJd }NJ <br />PARCEL I. D. f r' 8 . ~ f -: / ""'" / 7 ). t 1;/, '/7 cJ 002 ~ a . l?tJ / 0 <br /> <br />WORK PROPOSED: V';;ev Construction _Addition _Alteration _Repair _Install <br /> <br />PHO~ 7g;J. - 9 //~ <br /> <br />OWNER'S ADDRESS 39 3 ~O <br />JOB ADDRESS .~Cf 3 S- c; - <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single FaJlily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br />9 d r tJ J -e... Other <br /> <br />_<=<-ercial <br /> <br />__Indtltst. <br /> <br />_Swa. Pool <br /> <br />BUILDING SIZE: J.fL-x~, <br /> <br />_Restaurant &: Health Deparblent Approval <br /> <br />L3~1' <br /> <br />Square Feet, <br /> <br />13 <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMHERCIAL : <br /> <br />ATTACH (2) PLOI' PI..MllS & (2) SEI'S OF BUILDING PLAlNIS &: (l) SET EHERGY FORMS. "'... <br />ATTACH (3) SETS OF BUIIDDG PI..MllS & (l) SET ENERGY FORKS."'''' <br />"''''COPV OF CONTRAC1' ~UJIlUlD. <br /> <br />XBUILDING <br />VELEcrRICAL <br /> <br />$ tJ.;. 00 <br /> <br />~ <br /> <br />PERlIIITS REOUJRSTIID <br /> <br />Va1uation of Tot:a1 Construct:ion <br /> <br />AKP Service <br /> <br />I'lorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlUCAL <br /> <br />s <br /> <br />Valuation of KechanicaI Installat:ion <br /> <br />_PLlJKBING <br /> <br />GAS <br /> <br />ROOFlliG <br />. <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block -$Fnme _Steel <br /> <br />Other <br /> <br />YES <br /> <br />-X <br />NO <br /> <br />FInSHED FLOOR ELEVATIOltiS: <br /> <br />FI' . <br /> <br />IS P.RO.JEC1' IN FLOOD ZONE AREA? <br /> <br />...........*............................................................................................ <br /> <br />COlWl'RACIOR SECTION <br /> <br />BUILDER <br /> <br />CO!IPAlfi <br />Stat:e Cert. or Regist. 4# <br />(:it:y License Regist:rat:ion , <br />........"'.................. ........ .........:1'"...................... It-..........................................''' <br /> <br />Signature <br /> <br />ELEcrRICIAN <br /> <br />CO!IPANY <br />Stat:e Cert. or Regist:. , <br />City License Registration I <br />................................................*..........................................................."'... <br /> <br />SiPn3t:ure <br /> <br />PL.UKBER <br /> <br />CO!IPMY <br />State Cert:. or Regist:. 4# <br />City License Regist:rat:ion I <br />.................."'......................................0, ......*...:11:.......................................... <br /> <br />Signature <br /> <br />KECHAJnCAL <br /> <br /><DIPANY <br />State Cert:. or Regist:. I <br />City ~icense Regist:ration , <br />.........................................*.......*v..................................................... <br /> <br />Signat:ure <br /> <br />OTIIF.R <br /> <br />CO!IPJiln' <br />St:ate Cert. or Regist:. I <br />City License Regist:rat:ion , <br />........................................................................................................................ <br /> <br />. <br /> <br />S ignat:ure <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />