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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPAR'IIIENT <br /> <br />OWNER'S fWIE . '17;M/~.J '{;~ ~~/J <br /> <br />'" <br /> <br />OWNER'S ADDRESS 39;J 4 q g~ ilu't"':-i- L~ <br />JOB ADDRESS // %~.Jc:;; k <br /> <br />LEGAL DESCRIPl'IOli: LOT(S) tf7 <br />PARCEL I.D.' <br /> <br />PHONE '7 gg - / 1/~ 0 <br />'/ / J;',' / ::/,/1. 22 c:-' , I / <br />~)c.;jJ;~l.T7.../...I..c-' 7 ,/C ,---AJU Yu <br />'7./Z- /.L- _33596 <br /> <br />B~~UBDIVISION...4~/z,u'l tdtzZ;4. <br />. <br /> <br /> <br />WORK PROPOSED: _Hew Construction _Addition _Alteration _Repair _Install <br /> _Sign _Move _D~lish <br />PROPOSED lJISE: V Single F_ily _"IF _, of Units ---'lIH <br /> _~rcial _Indust. _Swu. Pool Other <br /> <br />_Restaurant 5: Health Departaent Approval <br /> <br />BUILDIBG SIZE: / (I X f? , <br /> <br />;:<() <br /> <br />~re Feet, <br /> <br />7 /;? // <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COtVtERCIAL : <br /> <br />ATTACH (2) PLOT PIAriS 5: (2) SETS OF BUILDING PLANS 6: (1) SET ENERGY FORKS. <br />ATTACH (3) SEtS OF BUILDING PLANS 6: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY IlIlQUIRED FOR ALL J!IEW mNSTRUCrION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDUJG <br /> <br />$ <br /> <br />Valuation of Tota1 Construction <br /> <br />_ELEClRlCAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHMUCAL <br /> <br />$ <br /> <br />Valuation of ftechanical Inst:allation <br /> <br />_PLUftBlliG GAS ROOFlliG <br />TYPE OF CONSTKUCTION: _BLock _Fr:me V Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? Y <br />YES NO <br /> <br />.*....***.*.*.*...*..**...*....*....*..... <br /> <br /> <br />CONTRACTOR SECl'ION <br /> <br />gist. . <br />tration , <br />.*...** <br /> <br />egist. , <br />istration . <br />*.*...**. <br /> <br />OTRF.R COtIPARY <br />State Cerl:. or Regisl:. t <br />Signature- City License Registration I <br />*.....*.............**..................*. <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />