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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRIIII.J.S <br />BUILDING DEPARnIEIfr <br /> <br />OWNER' S lWIE_DA Nt:.~ \ b\J RGt: 5S <br /> <br />_'S ~, ~~~~T~~ ~~ _'X. ~t',j"- <br />JOB ADDRESS t d-.S S __'" ~ cJ _ _ JJ.& <br />LEGAL DESCRIPl'IOII: LOT(S) \ \'3 <br /> <br />PHONE <br /> <br />~f?~-IJI()5 <br /> <br />7~t>\\'J(\~!;t \6 F\f\ <br /> <br />~3~1..(1. <br /> <br />B~SUBDIVISIOH <br /> <br />51: \ \J\0R. O~~5 <br /> <br />PARCEL 1. D.' <br /> <br />WORK PROPOSED:--x'New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeIIolish <br /> <br />PROPOSED USE: X, Single F8IIily <br /> <br />_"IF <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />----...Restaurant .& Health Departaent Approval <br /> <br />BUILDDiG SIZE: .5'7"// X C;;;Z . <br /> <br />;;2 7 $?~ <br /> <br />Square Feet. <br /> <br />Sf <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cottHERCIAL : <br /> <br />AtTACH (2) PIDI' PLANS .& (2) SETS OF BUlLDl.RG PLARS .& (1) SET ENERGY FORMS. <br />ATtACH (3) SKIS OF BUILDING PLANS .& (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL I!IILV CONSTROCTION. <br /> <br />PERMITS RIl'OUESTED <br /> <br />_BUILDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECIlUCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECBANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Inst.allation <br /> <br />_PLmtBIIIG <br /> <br />GAS <br /> <br />ROOFIJiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOII: --..X..Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZOllE AREA? <br /> <br />YES 110 <br /> <br />.*.......*.....*.......................... <br /> <br />COllTRAC1'OR SECI'IOII <br /> <br />Boown Q ~~ <br />,. () State Cert. or Regist:. I <br />Sigoa<ure ~_.I>J' ~ A CUy License Regis<raUOIl . <br />.... . ...*............................... <br /> <br />F.I.F.G'fRICIAli COMPANY Z -\~\.I...'-'S t:_~~c\, <br />, - =-~ ~~~ State Cert:. or Regist:. I ()(",O?.. \.l", ~ <br />SiP"lUlltur~ ~,_\... ~ City License Registration' ~ t"l <br />. ....................................... : <br /> <br />PLUKBER ( - COHP~ V(~) iLl P ( t{,1Vl0l ~~ <br />State Cert:. or Regist:. I <br />Signature ! City License Registration' 58 <br />.....................*........... <br /> <br /> <br />MECHANICAL <br /> <br />COHPAfi Btthr S Pro f~ 6a.s " Ai (}; <br />1\1) A A . A . m. 0 . Stat.e CerL or RegisL' CAe 043 tt 48 <br />c1(Il{/Y~ ~ City License Registration # qg <br />.....*.......................*............ <br /> <br />Signat.ure <br /> <br />OTHER <br /> <br />cotIPANY <br />State Cert:. or Regist:. I <br />City License Registration I <br />...............*.......................... <br /> <br />Signature- <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKlT OFFICER. <br />