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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPllYRlIILLS <br />B~JJII.lnBG DEPAR1'1I'IE.NT <br /> <br />OWNER'S NAME C /-ffne{ks E B /} cI< <br />OWNER'S ADDRESS ,?903K CIT7ltJ$"{- Clee~ <br />JOB ADDRESS j...Or #-6 ~ 7 8EiE'r:tA S~ z-#/tLS <br />1f- 5c 9 <br />LEGAL DESCRIPTION: LOT(S) 6 fj 7 B.LOCK SUBDIVISION <br /> <br />PRONE 213 -7Jf-3Sqh <br />Z~HY~mU5/~ 33S~~ <br /> <br />, <br /> <br />O,eN45ie t?,c 9711"vd f86CC-/f <br /> <br />>>AlGL#G ~~/71bN <br /> <br />PARCEL I. D. # <br />RORK PROPOSED :LYJew Construction <br /> <br />_Addition _Alt.eration _Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_lIfove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: X Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_eo.mercial <br /> <br />_Indust. . <br /> <br />_Swt.. Pool <br /> <br />Other <br /> <br />_Restaurant & Health DepartJaen.t. Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />/ I <br />;1'l~ <br />, - <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKHRRCIAL : <br /> <br />A'ITAGII (2) PLOI' PLANS &: (2) SETS OF BUILDING PL\.OOS & (1) SET ENERGY FORMS. u <br />A'ITAGII (3) SETS OF BlITLDDilG PLANS 6: (1) SET ENERGY FORtIS. u' <br />~:f;COPY OF CONTRACT REQm:RED. <br /> <br />PElmITS REOUJESTED <br /> <br />_HEClIANICAL <br /> <br />$ gg ,000.00 Valuation of Tot.a1 Construction <br />, <br /> <br />~,:l.J~ AHP Service LFlorida Power Corp. <br />$ 3850- 00 Valuation of Mechanical Installation <br />X <br /> <br />W.R.E.C. <br /> <br />_BUILDING <br /> <br />_ELECTRICAL <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: XBlock _Fr3llie _Steel <br /> <br />Other <br /> <br />YES <br /> <br />A- <br />NO <br /> <br />FIInSlIED FLOOR ELEVATIONS: <br /> <br />IT . <br /> <br />IS PROJECT IN FLOOD ZONE' AREA? <br /> <br />*~:f;~*:f;*~*~***:f;*******:f;**:f;**********:f;*:f;**** <br /> <br />BUILDER <br /> <br />COL'n'RACTOR SECTION <br />, COIfPAOIIYC~~ou>~ ~J;4::;, -I 11,,) ,~ <br />/// ;J;J. /J / ~ S~te ~ert. or R~gis . _ 4# !:;::; (! L- <. ~)! I <br />b~ ;5~ Cd:y L1cense Reg~strat1on 4# ..:::'.5 I <br />****************************************** <br /> <br />Signature <br /> <br />...-- r-- i <br />ELECTRICIAN OOIfPANY r C" ~ I /,..{ (i <br />_:7 i i 1/ \ \ ~ State Cert:. or Regist:. 4#~- <br />Sismat.ure "//{/~!/I~/2t) -7.-() ,)- City License Registrat.ion , <br />- <br />*********************:f;*************:f;***:f;** <br /> <br />Signature <br /> <br />~$~ <br /> <br />CO'lfPANY Em tl~t t/ C ( !3 u r-bn &, c/:- <br />State Cert. or Regist:. =1# A-P 003'8'798 <br />City License Registrat\on' 1f <br />***:f;**:f;**.:f;**:f;***~:f;*:f;:f;:f;*.***********:f;***** <br /> <br />Ii? (- <br />" / "--- <br />~ If ()n() V(;C/cJ <br />~-c; <br /> <br />So^-.d: {;x. {h-u!h'lJy? c~ <br /> <br />PLmtBER <br /> <br />.G' <br />\,) <br /> <br />Signa t:ure <br /> <br />Ju\i/~l/G <br /> <br />COlfPABY DjlGn t' j P ({! r C'vll-C {r~ ,<?~) 4 / C <br />/~,2,;, L'~ / State Cert:. or Regist:. I CAe 0 t13 q '-'1'<5 <br />1~-7VL-{\; v City License Regi:;tration I 7 ~' <br />***.*****.*..***.**:f;******.*..*********~** <br /> <br />KEC'BANICAL <br /> <br />0'T1IER COlfPANY <br /> <br />~. 4J J.t tJ. ;S~ ~<yt\~~ o;':::~~~i:n . <br /> <br />, *.:f;**:f;***********.***~******************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />