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<br />APPLICATION FOR PERKIT <br />CI'lY OF ZEPIIYRIIILLS <br />BtIII.DIJIG DEPARIKENT <br /> <br />OWNER · S NAME \.~ \~ I ,\-q L #!\ ~ cc..S . t 10~ . <br />\ <br />OWNER' S ADDRESS to ~ llo G ,,\\ ~ h:."V ^ ~ t\ / <br />JOB ADDRESS ( {} "6 H.D e A n ~6lJ L tAl ~ ~ D <br />~.~~~ <br />LEGAL DESCRIPTIOllI: LOI'(S) BI.OCK <br />PARCEL LD.t 0 ~ . ~~- cl! '- <br /> <br />moNE~3-18L-S-S' I <br />2 EP ~ 4 (. HIl.A.. '\) !}L 3 <.f z 0. ~ <br /> <br />SUBDIVISIOIIIZtt:.ph1~J.\\ lh ~ t~ lJ't GvnfA"\ L~^,~ <br /> <br />WORK PROPOSED:_JII[ev Construction ~tioo. _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_ftove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Fallily <br /> <br />,_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />~ ~rcial <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: 0( 3. i <br /> <br />_Restaurant &: Health Depart:.ent Approval <br /> <br />:2 7~ * <br /> <br />I <br />X ) ..). <br /> <br />Square Feet. <br /> <br />/d I <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COH.KERCIAL : <br /> <br />A'l'TACII (2) PLOl' PLUlS &: (2) SEIS OF BUlLDIJiG PLUS &: (1) SET EllERGY FORKS. ** <br />A1TACII (3) SEI'S OF B1llIJ)JlIiG PLUS &: (1) SET .ENERGY FORKS. .u. <br />,u'COPY' OF CONTRACT JUlQUIRED. <br /> <br />PERl!lITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ d., 11::>-, fr <br /> <br />Valuation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Hecbanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOl!lJ: _Block _F'raIIe _Steel <br /> <br />~ <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />******************~********************** <br /> <br />COIlTRACIOR SECTION <br /> <br />8I1JT.DER lDIPAIOY IY}fI.~ (J,~ flzl,J G <br />;1 ~ -vV\ ~ State Cert. or Regist. I t <br />Signature I ~ r / ~ City License Registration I .l~ <br />*********....*.*****.*******..********.*** <br /> <br />ELECTRICIAN <br /> <br />CO!IPAJMY <br />State Cert. or Regist. 1= <br />City License Registration t <br />***~.**~.*.*~*.~********************** <br /> <br />SiPl1=-ture <br /> <br />PLOH.BER <br /> <br />Signature <br /> <br />CO!IPAliY <br />St:ate Cert. or Regist. I <br />City License Registration t <br />*****.******.**..*.************.*.****.*** <br /> <br />KECllARICAL <br /> <br />Signature <br /> <br />CO!IPMY <br />St:ate Cert. or Regist. I <br />City License Registration I <br />***********~.*.~**************.********** <br /> <br />01"RF.R <br /> <br />Signature <br /> <br />CO!IPAliY <br />State Cert. or Regist. I <br />City License Registrat.ion , <br />**.*******~..*...*.***********.*****.~*** <br /> <br />......--. . <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br /> <br />~ <br />