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<br />APPLIGAnON FOR PERKIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPARIIIENT <br /> <br />OWNER' S lWtE Mf? R y ({OW ELL <br /> <br />PHONE 917 .....7-1 'f r:- <br /> <br />OWNER · S ADDRESS <br />JOB ADDRESS 3'800?/ L.,fw4lUi)A J...ooP '2..Jf?{>/{j'IU-l/l-l-$, FL ~ ~5~o <br />, <br />,. , , . <br />LEGAL DESCRIPTION: LOT(S)e2lJ of ~ ~ ~ <<1. B~SUBDIVISION '.J,+Y(.(J~R~ Q)LJ.rb <br />PARCEL I. D.' /if ).. C ^ ( ~ I ~ 0 O~~ t9 :;-'1-/'/1'- it;,. cM" e> -;..t:t 0 <br />WORK PROPOSED: ~ev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: VSingle FaJlily <br /> <br />_"/F <br /> <br />_' of Units <br /> <br />_"/H <br /> <br />_ec-ercia1 <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />BUILDING SIZE: rJ.~ x5 b . <br /> <br />I, Ore 8' <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT PINlIS & (2) SKI'S OF BUILDDlG PLAliS & (1) SET ENERGY FORMS. <br />AnACH (3) Sf.TS OF BDILDING PLANS & (1) SET' ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NE.V CONSTRUCfION. <br /> <br />PERKITS REOUESTED <br /> <br />V BUILDING <br />'/ELECl'RICAL <br />v'HECllAliICAL <br />,/ PLUKBIRG <br /> <br />$ <br /> <br />31.9, O~ {) <br />. <br /> <br />Valuation of Total Construction <br /> <br />VFlorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~,,;V AIIP Service <br />$ 4" i,).,O{) <br />. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br />~FraJIe _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'IOB: <br /> <br />_Block <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />Fl. <br /> <br />IS PROJECf IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CORTRACfOR SECTION <br /> <br />BUILDER COKPANY 5TEwMQ.'! )J.OBtL6 ~ <br />J.I ~ ~ pi J State Cert. or Regist. t P/-f /4'2 ~;h <br />Signature ~ City License Registration t <br />... ...................................... <br /> <br />ELECIRICIAB COKPAIiY S71=w./WT ~t1~/.; ~......,e;; <br />=J/ (7/~ State Cert. or Regist. tibJf&J7 ? <br />SiPD~ture~~'~~ ' C1ty L1cense Reg1strat1on t <br />...*...................................... <br /> <br />PLUKBER ~ COIlPAn Qjew~ ~ {~ <br /> <br />~ /' // / , State Cert. or Regist. t . (/7 ~b <br />Signature ' ." 0/ City License Registration t <br />~ ...................*..................*... <br /> <br />Signature <br /> <br /> <br />~ ,-. <br />cottPAIiY :d<~.~ ~H!:;;fJff~ ;J:;vi <br />State Cert. or Regist. t . q39~r- <br />City License Registration t ,~~ <br />.........*.......*.......*......... <br /> <br />IlECHARIGAL <br /> <br />OTHF.R , <br /> <br />COKPAIiY <br />State Cert. or Regist. t <br />City License Registration t <br />.*........................................ <br /> <br />Signature <br /> <br />APPLICAnOR APPROVED BY <br /> <br />PERKIT OFFICER. <br />