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<br />ci\ ~d( 4?:-llzj <br /> <br />APPLICATION FOR PERKIT-::::::::==- <br />CITY OF ZEPRYRBILLS <br />BUILDING DEPARTMENT <br /> <br />'" of> e A... 1/ ~-. { R~ <br />(J14IVf r1 fl:) ;{ '" iT <br /> <br />OWNER'S NAKE I{ f1 6 - 1-1 po Ill' sr At,( ([ 4'\/"'- PHON(i, ?) 7.3 7 - / 'f" ( <br /> <br />OWNER'S ADDRESs--.::J7JwN f/'-ei4/ ~ ~ uA1t.6" [;4 of/,' h.' Ctl-'I~/L <br /> <br />JOB ADDRESS "'1l 'I~ C-~J-.t- IJ II/d ~Ol { 2 :t'~k(./d. p'L <br />S e <.HJ 3,S "1)ly.v 'i.l. 'f Z S; CI'-' I I'L 7 /,;-.+~ <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK SUBDIVISION L-ef"''fJ.lJ/J (0/(/7 C.''''I'';/ <br /> <br />PARCEL I.D..--P/~"T ~ .1.fjf sr) pJNr ~~.k- l-j. U-'(COBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ")CNew Construction -----Addition -----Alteration _Repair .1s::::...Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FSllily <br /> <br />----li/F _' of Units ----li/H <br /> <br />~~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />c ,''''' It" <br />, 1=-'\tof!.;I, I (.v4-rt'''t 1-f~.~re/L <br />BUILDING SIZE: X Height 'dA-,z/J.....(/./Pd, I G-~,ut <br />'-rur~ I{ rc/ Il-j~ ""'~, <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS~. / <br />COttKERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />I g' 00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1fECBAlfICAL] $ J ~() iJ <br />. / <br />_PLuttBING V GAS <br /> <br />TYPE OF CONSTRUcnON: ~lock <br /> <br />Valuation of Mechanical Inst:allation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />YES <br /> <br />....--- <br />NO <br /> <br />FIRISHED FLOOR ELEVATIORS: <br /> <br />IlJ FT. <br />. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY <br />St:ate Cert.or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />ELECTRICIAN <br /> <br />SiDnAture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />PLUHBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />KEGBANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />OTRRR <br /> <br /> <br />COMPANY s: VI\! lfl1~Y U-1J Co It /JOlt '1-770"/ <br />St:ate Cert./ or Reg st.' If- 0 f<'ICJ <br />City License Registration' .J1.?S7 <br />.................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PBBHIT OFFICER. <br />