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<br />APPLICATIOlil FOR PERKIT <br />GIn OF ZEPllYRBIu..s <br />BUILDIliIG DEPAR11IE'RT' <br /> <br />=:: ::~t-f;f~~~/;;~ -;2,~ ~7 <br /> <br />JOB ADDRESS :3 sY cf' c) C ~~~~-7~~~ a- -R~ <br /> <br />LEGAL DESCRIP'l'IOl!i: LOT(S) Cf ~I BLOCK I SUBDIVISION ~.;L,A~ <br />2 ~ _ ? :;: .~ ,..,c,. / .~ D CI ..,.:: ::) - ,~o <..1 ,,'::.;' -,~~ '1 "'I (/ <br />PARCEL LD.I <;LIZ . <br /> <br />A/H ,;;7' <br />#"~ N(;ft"%.('" . <br />100.0 <br /> <br />WORK PROPOSED :_Nev Construction ~ Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />~e:l e F3IIily <br /> <br />_KIF <br /> <br />_. of Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Ot:her <br /> <br />_Restaurant & Health Deparblent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT :PI.AliIS & (2) SEIS OF BUILDING PLUS & (1) SET ENERGY FORKS. ** <br />ATI'A-CD (3) SILTs OF' BlITLDDilG PI..MilS & (1) S~ ElNERGY FORKS.** <br />**COPY OF CONTRACT RmlmRED. <br /> <br />~LDING <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />L_Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Inst:allat:ion <br />, <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />\ <br /> <br />SPECIALTY <br />t/ Other <br /> <br />TYPE OF CONSTRUC'I'ION: _Block <br /> <br />_Pralle __Steel <br /> <br />FllUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARE/\.? <br /> <br />~ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COlfn'RACIOR SECTION <br /> <br />BUILDER <br /> <br />COItPMIY <br />Sta~e Cert:. or Regist:. I <br />City License Registration I <br />*****************~************************ <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />CO!IPMlIY <br />St:at:e Cert:. or Regist:. I <br />City License Registration f <br />****************************************** <br /> <br />SiJm3ture <br /> <br />PIHmER <br /> <br />CO'!tPMlIY <br />St:ate Cert:. or Regist:. #f: <br />City license Registration I <br />****************************************** <br /> <br />Signature <br /> <br />KECHMITCAL <br /> <br />COlfPMlIY <br />St:ate Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />Signat:ure <br /> <br />OTHER C01fPMlIY <br />~ / State Cert. or Regist:. I <br />Signat:ura..-/~~........-. ~ City License Registration I ;l' <br />*****************************************~ <br /> <br />J)7' L? Co"Jc/t-~ I P <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />