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<br />APPLICATION FOR PERKIT <br />CI'IY OF ZEPIIYRIIILLS <br />BUTILD"ING DEPARlKElNlT <br /> <br />OWNER'S NAME \J E ~C Y Du.:)E~~ <br />OWER'S ADDRESS 5 ~ \ D ~ ~ "-- \..-I <br />JOB ADDRESS b ~ S '> j \\..>0~ ~ ~ ~ \<-- S <br /> <br />LEGAL DESCRIPl'ION: WY(S) to '\ <br /> <br />BLOCK <br /> <br />SUBDIVISION 3 'LV't:" ~ () ~\~ <br /> <br />PARCEL LD.,3- '"d--'-.o-:2-\ -C),~t) - ~~~~~ - \ ~~ ~ <br />WORK PROPOSED:~. New Construction _Addition _Alt:eration _Repair _Inst:all <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />~ingle <br /> <br />Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_M/H <br /> <br />_~rcial <br /> <br />_Ind1llSt. <br /> <br />_Swi.a. Pool <br /> <br />Other <br /> <br />_Res1:aurant & Bea1t:h Depart:aent Approval <br />BUILDING SIZE: 5 0 xS~ , ""& ~ ~ ~ ....,.~, V ,~. Square Feet. \ C) I <br /> <br />Height <br /> <br />RESIDENTIAl. : <br />COHKERCIAL : <br /> <br />ATTACH (2) PI.OI' PI..l\.NS & (2) SEIS OF BUILDING PI.ANS & 0) SET ENERGY FORMS. u <br />ATTACH (3) SEIS OF BUII.J)DlG PI..l\.NS & 0) SET ENERGY FORKS. ** <br />**COPY OF CONTRACT RllQm:RED. <br /> <br />PEmnlS REOUESTED <br /> <br />)( BUILDING <br />'l-ELEC'TIUCAL <br />')l.....,MECHAlUCAL <br />?'--' PLUMBING <br /> <br />$ to\::) )O~~ <br />\ '5~ <br />s -a~~~ - <br /> <br />Valuation of Tot:a1 Construction <br /> <br />AKP Service <br /> <br />~" <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Kechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Bloclt _Frase _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEV"ATIOlNlS: <br /> <br />FI' . <br /> <br />IS P.RO..JECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br />Signat:ure t9 <br /> <br />CODn'RACIOR SECT'ION <br /> <br />.~. mMPMW~ ..\:.....-' ~0~~e-'\f- <br />" St:ate Cert:. or Regist. , e..... \C..C:~~ \ ~ '" ~ ~ <br />" City License Regist:ration' J /9 <br />**~* ************************************ <br /> <br />ELEC'TIUCIAM~ <br />S isroature \1..-/ <br /> <br />COOPMY f 't. t t:..~ t. <::.... <br />\ ....---...r--) State Cert. or Regist. , <br />"\- / J--' __- City License Registration f <br />**~*************************************** <br /> <br />...<"-0 <br /> <br />- <br /> <br />PLUKBFA ~ <br />Signature _ <br /> <br />mMPABYC\\ ~~ ~'O~ ~ <br />~ State Gert:. or Regist:. , <br />---....) City License Registration f --1.'.&J.. \5 <br />***********************~****************** <br /> <br />MEC'JIANICAL ~ OO'!IPABY 'So ~ ~ ~ y :> <br />~ \\ 1 State Cert:. or Regist:. 4# <br />Signat:ure b ~./ \\1\ City License Registration :j: .:2 <br />* * **** ****~,*"'***li:********************** <br /> <br />0T1IER <br /> <br />COKPABY <br />State Gert. or Regist:. , <br />City License Registrat:ion , <br />**********************~*...***************** <br /> <br />Signature <br /> <br />APPLICATION APPROVID BY /l d:A1fl(j ~ .~ <br /> <br />PERKIT OFFICER. <br />