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<br />~"";'~. . If. - . . <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRIIII..Ui <br />BUILDING DEPAR.'IIIENT <br /> <br />OWNER' S RAKE <br /> <br />V:~G/~ If' <br /> <br />OWNER. · S ADDRESS <br /> <br />~~ <br />-r/(tL <br /> <br />IlLR.lfJr7l ~ l)"cJl p <br />/7I<sr 5; <br />L./hlI~ ~C-cAr; €. <br /> <br />CIhfi) (.)1 ell- <br /> <br />mONE <br /> <br />7 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'IOII: WT(S) <br /> <br />B~SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />/0 .2(;;, ~/ (J1JOO tJ{)/ QD ~o D <br />~ew Construc~ion _Addition _Alteration _Repair _Install <br /> <br />WORK PROPOSED: <br /> <br />_Sign <br /> <br />_Move <br /> <br />_D~lish <br /> <br />PROPOSED USE: <br /> <br />~Sing1e Faaily <br /> <br />_"IF <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_S1Ift.. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant 6: Health Departaent Approval <br />( X "0, "5 ~4 IJDjf Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL : <br />COftMERCIAL : <br /> <br />ATI'ACII (2) PLOT PLUS 6: (2) SETS OF BUILDING PLAIIS 6: (1) SET ENERGY FORMS. <br />ATI'ACII (3) SElS OF BUILDING PLAliS 6: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY KIlQUIRED FOR ALL IlIILV WNSTROCI'ION. <br /> <br />_BUlLDIRG <br /> <br />$ <br /> <br />Ie; tJ1) ~ oV <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Tot:a1 Construction <br /> <br />_ELECJ'RICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllMUCAL <br /> <br />$ <br /> <br />Valuation of t1echanical Inst:allation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSmUCI'I.OR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*.*************.*****.***************.**** <br /> <br />CONTRAcrOR SEct'ION <br /> <br />BUILDER.___~~~ GOtIPAIIY [;;;A./S~ /I-{,.JJf/~cJtf <br />/ :~2~'-:-:d~d Stat.e Cert:. or Regist. , <br />Signatur~ ~~~~. _, City License Registration , <br />.***.*..*.*********.*.****....**..****...* <br /> <br />77 <br />, <br /> <br />F.:1_RCI1UCIAR COHPAIiY <br />State Cert:. or Regist.. , <br />Si-t.ure Cit.y License Regist.ration , <br />*****.*******************.*****.********** <br /> <br />PLUKBER COtIPARY <br />Stat.e Cert.. or Regist. , <br />Signat.ure City License Registration t <br />..*******.********************.******..... <br /> <br />t1ECHAffiCAL COHPAIIY <br />State Cert.. or Regist.. , <br />Signat.ure Cit.y License Registration , <br />*.....*...**.*.***......*.....*........**. <br /> <br />OTHRR COHPABY <br />Stat.e Cert:. or Regist. . <br />Signat.ure City License Registrat.ion . <br />*.*..*..*.*.***.*.**.**..**....**.****.**. <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />