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<br />APPLICATIOJl FOR PERKIT <br />CITY OF ZEPII"~"RRTT.I,S <br />B1llD.DDCG IIEPAR'I!IENT <br /> <br />OWNER'S RAKE_&aoefal Home Development Corporation <br /> <br />PHONE (904)567-6581 <br /> <br />OWNER'S ADDRESS R17 liS qR Ryp.:lC::C:: Snllth n.:lnp r.ity! F1nrin.:l 111)?1) <br /> <br />JOB ADDRESS Lot 11 and 12 Tract "D" Brentwood <br />Tract "n"__ <br />LEGAL DESCRIPTION: UJI'(S) 11 & 12 .~ <br /> <br />Silver Oaks Subdivision <br /> <br />SUBDIVISION Silver Oaks PB 29 PGS 86-89 <br /> <br />PARCEL I.D.' 4-26-21-14-11 & 12 <br /> <br />WORK PROPOSED:-X-!8!ev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: X Single Faaily <br /> <br />_"IF <br /> <br />.2..-' of Units <br /> <br />_K/D <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Ot:.her <br /> <br />_Restaurant & Healt:.h Depar~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COftKERCIAL : <br /> <br />ATTACH (2) PLOI' PLAIIS & (2) SEI'S OF BUIIJHIiG PI..ARS & (1) SEI' ENERGY FORKS. ** <br />ATTACH (3) SETS OF BUILDIBG PLAIIS & (1) SET .ENERGY FORKS. ** <br />**COPT OF COIffRACT REQIIIIRIID. <br /> <br />~BUILDIHG <br /> <br />PERl!lITS REQUESTED <br />$ 52!000.00 each vil~uation of Total Construction <br /> <br />~ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~K.EGllMUCAL <br /> <br />$ <br /> <br />Valuation of Kecbanical InStallation <br /> <br />~PL1JK.BIHG GAS ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF COHSTRUCTION: .L-Block _FraIIe _Steel <br /> <br />Other <br /> <br />FTIiISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD zmm AREA? <br /> <br />YES HO <br /> <br />*****..*.*...**......**..*...*.****.**.*** <br /> <br />COJrI'KACIOR SECI'ION <br /> <br />BIJTIJ)ER Kevi n T Roberts CDltPANY r,pnpr.:l1 Hnmp npvp 1 opl11ent Corp <br />. ~"/ ": . .L":J.. c------. St:ate Cert. or Regist. , CG005694 <br />Signature ~ z;-:- r-J..~4i::;J- City License Registration' 22 <br />.*...*.*.............**.*******.****.***** <br /> <br />ELECTRICIAN Robert H. Martin CO!IPAlllYMartinFlectric <br />ry/ /J . ? J 'YJA ~ I St:at:e Gert:. or Regist:.,' EROOllllO <br />Signature ~ {~/'~~~ City License Registration I 158 <br />....... ..**.........................**... <br /> <br />PLDlBER. <br /> <br /> <br />COIIPARY Rtlyonet Plllmbir.lj <br />St:ate Gert:. or Regist:. O~o yz- -? 57 <br />City License Registration f 91 <br />...................................*...... <br /> <br />Signa <br /> <br />1IECBAlIICAI. Tho.:;~t~achance .' ~ . <br />Signature ~ L~ <br /> <br />.,/ <br /> <br />allIPAIiY SOllthern Comfort ERtQrpri i~ 1R'L <br />State Ce::.:-t:. or Regist:. f IZ #~ (J ~ (J L <br />~ity License Registration' 17 <br />.................................*......** <br /> <br />CO!IF-..-tfi <br />State Gert. or Regist:. , <br />Ci~ License Registra~ion , <br />...*........~.....*..~ *****~*.********* <br /> <br />BY /~ ~"a~~ PERKIT <br />---. <br /> <br />OTHER. <br /> <br />Signature <br /> <br />APPLICATION APPROVED <br /> <br />OFFICER. <br /> <br />