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<br />" <br /> <br />.- <br /> <br />",_. <br /> <br />-. . <br /> <br />APPLICATIOli FOR PERKIT <br />CITY OF ZRHll"RIIILLS <br />Bm:IJ>lliG IIEPARlHENT <br /> <br />OWNER'S NAHE_G,e.I'J,e,ral Home Development Corporation <br /> <br />PRONE (904)567-6581 <br /> <br />OWNER'S ADDRESS 817 liS q8 R.}'prtc::C:: South nrtl'ip fit.}'. F1oril'irt 11!1?!1 <br /> <br />JOB ADDRESS Lot 11 and 12 Tract "D" Brentwood <br />Tract II [VI ___ <br />LEGAL DESCRIPTION: LOT(S) 11 & 12 ~ <br /> <br />Silver Oaks Subdivision <br /> <br />SUBDIVISIO~ Silver Oaks PB 29 PGS 86-89 <br /> <br />PARCEL I.D.t 4-26-21-14-11 & 12 <br /> <br />ftORK PROPOSED:--X-!K!ew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign. <br /> <br />_l!tove <br /> <br />_DellOlish <br /> <br />PROPOSED USE: X Single Faaily <br /> <br />_KIF <br /> <br />.2.-* of Unit.s <br /> <br />_H/H <br /> <br />_CoBDercial <br /> <br />_Indust. . <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Restaurant & Healt:h Depart:llent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLAHS & (2) SEIS OF BUILDING P:L.!U4S & (1) SET ENERGY FORMS. ** <br />ATTACH (3) SETS OF BUILDllllG P:L.!U4S & (1) SET E1NERGY FORMS. H- <br />HCOPY OF COINTRACT RE'QurnmD. <br /> <br />PElMITS REOUF_<)TEU <br /> <br />-LBUILDING <br /> <br />$ 52,000.00 each villvaluation of Total Construction <br /> <br />-LELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power ,Corp. <br /> <br />W.R.E.C. <br /> <br />-LKECHANICAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />-LPLUMBING <br /> <br />GAS <br /> <br />ROOFlliIG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -X--Block <br /> <br />_FraJlle _Steel <br /> <br />~ <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIO~S: <br /> <br />FT. <br /> <br />IS PRO..TECT IN FLOOD ZONE ARE..o\? <br /> <br />YES NO <br /> <br />~~~~~*~~**~*****.*********************~*** <br /> <br />COJllilTRACTOR SECTION <br /> <br />BUILDER Kevi n T Roberts COIfPAIN1Y r,pnprrt 1 Homp nE'VP 1 oprnent Corp <br />. ~"/ ,L:J .. c-----.. St:ate Cert. or Regist. #I CG005694 <br />Signa~Ure rta--<-~ ;;-:- rJ~-<;7- City License Registration ;# - 22 <br />****~**~**~~**~**~***********~~~***.*****. <br /> <br />El..ECTRICIAN Robert H. Martin CO'!fPANYMartin F1ectric <br />rYJ () . II ''hA ~ / St:ate Cert. or Regist.,i# ER0011110 <br />Sismature ~ 10<.... /YL,vVf.:-v' /~ City License Registration J 158 <br />*~~**~*;t**~*~~~~****~****~**~*~*~*****~** <br /> <br />PLUHBER <br /> <br /> <br />COlIPANY 8ayonet Pl 'Imbi n, <br />St:ate Cert:. or Regist:., <br />City License Registration <br />*~~~******~~**.*t****~*x*****w***~*..ww.** <br /> <br />(7~eoyrZ9 5)' <br />f 91 <br /> <br />Signatu <br /> <br />~ <br /> <br />IlECHANICAL ThO~.).L. qchance. '. GO'IfPAJlW Soqthern Comfort Enterpri ~~ InS:... <br />~ ~ St:ate Cert:. or Regist:. f= IZ rh {jC/ 0 L <br />Signature C-/ ~ /,' --' '~ '::ity License Registration I ---17 <br />~ <br />*w*****~**~~**~******~*************~****** <br /> <br />COltF..-\Jfi <br />State Gert. or Regist. j <br />City License Regist.ration I <br />***~~~~**~**-Jr~**~**i:. *';i.;*'ik'g~***i!:********* ** <br /> <br />0T1lER. <br /> <br />Signature <br /> <br />APPLlCAfiON APPROVED BY ~~_ ~QAff)Al::: <br /> <br />PE&'I{lT OFFICER. <br />