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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRIIIU.S <br />BUILDING DEPARTIIENT <br /> <br />OWNER · S BAttE <br /> <br />S U fYJ'm (7 r- <br /> <br />2SoC( <br /> <br />J-)( J / 40 ow s <br /> <br />, <br />/J \ 0 <br />K '-...> '}7- I c. CM. <br /> <br />PHONE <br /> <br />7'<t2-Z75"J <br /> <br />OWNER'S ADDBESS <br /> <br />k-s <br /> <br />o,~ <br /> <br />JOB ADDRESS :set ) J "') Cl I c~ (Y) I \ /__c:( (,.-t (?_ <br />LEGAL DESGIUPTION: toTeS) 9) BLOCK SUBDIVISION)o r1'1 J1It<i'^ h...J J <br />PARCEL J.D.' );;2 -cJ. 6 /CQ / <br />WORK PROPOSED: X' New Construction _Addition _Alteration _Repair _Inst:.a.1l <br /> <br />_Sign <br /> <br />_Move <br /> <br />_D~lish <br /> <br />PROPOSED USE: <br /> <br />Single Falli1y <br /> <br />_"/F <br /> <br />_' of Units <br />~SWia. Pool <br /> <br />_M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant 6: Bealt:.h Deparment Approval <br />I 'Z- X '(. S- . <br /> <br />~uare Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERGIAL : <br /> <br />ATTACH (2) PLOT PLMiS 6: (2) SETS OF BUlLDI.NG PLANS 6: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PI..ANS &: (1) SET ENERGY FORtIS. <br />PROPERTY SURVEY REQUIRED FOR ALL n.w CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ cr, ) C( G <br /> <br />Valuation of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AtIP Service <br /> <br />Flocida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Inst:a1lation <br /> <br />_PLlJHBIRG <br /> <br />CAS <br /> <br />ROOFING <br /> <br />y <br /> <br />SPEGIALTY <br /> <br />TYPE OF CONSTRUCI'I.ON: _Block _Fralle _Steel <br /> <br />----~~. <br /> <br />Ot:.hec <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />...................**.*...............*... <br /> <br />BUILDER <br /> <br /> <br />CONTRACI'OR SECTION <br /> <br />cottPANYj)I~~O'1 ~9-~ef !)D~./S .:te. <br />State Cert. or Regist. t C . C 6':1-37 '-f G- <br />City License Registration t ..::} L <br />..............*.*......................... <br /> <br />Signature <br /> <br />I <br />,- <br />/ <br />/ "- <br />ELECTRI.~ COKPANY C} ') L-::' Lc c' r ~ C <br />(~.'\ \ \. \\ \\b\\ State Cert. oc Regist. t :: 00 C <br />SiPnSllture ~ ~\~ . City License Registration t <br />.. .................................... <br /> <br />PLlI!lIER /1,/ /J i/ =~E::rt13~~t.~~f:;~';? J:'2 <'- <br /> <br />Signature . J;,>_/'~w..~- ~ City License Registration t 3 z.. <br />/ / *.............*...*....................... <br /> <br />.~// <br /> <br /> <br />MECHANICAL <br /> <br />COKPARY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />OTHF.R J' /~ C1lIIPAJIY J H 0 ^ ~ Q ee r- <br /> <br />. i . ..' .' State Cert. or Regist. , C <br />Signature<;7<--/ / ,/ . G.i.t}" License Registration t <br />.' C ~~...*******.............*....... <br /> <br /> <br />APPLICA'TION APPROVED BY <br /> <br />PERKIT OFFICER. <br />