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<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPBYRIIIUS <br />BUILDING DEPARnIRNT <br /> <br />OWNER.' S lWIE rr/oJ A /u) ( ~ /V J loS . PHONE %13 ~ 7~- 2. z.. 76 <br />OWNER'S ADDKF.SS3770.$"'" /V.&uJ~O/LT .D12... .2~mu~, FCA <br />JOB ADDRESS .5J4.m e- A-s R-/?:>I!3JIJL-. <br /> <br />LEGAL DESCIUPI'ION: LOT(S) <br /> <br />B~SUBDIVISION Z.!E"PH't'4t.~/::r ~ . <br /> <br />PARCEL LD.' t!J..3 - 21.: - 2-/ - ~/.3. Co> - 000 . =0 - ZJ 79. 0 <br />WORK PROPOSED:-*-.Nev Construction _Addition _A1teration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single F8IIily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />~K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swt.. Pool <br /> <br />Other <br /> <br />_Restaurant 6: Health Depart:llent Approval <br /> <br />BUILDING SIZE: 25 X S-g , <br /> <br />IS~ <br /> <br />ATI'ACB (2) PLOT PLMS 6: (2) SETS OF BUILDING PLANS 6: (1) SET ENERGY FORKS. <br />ATI'ACB (3) SETS OF BUILDDiG PLANS 6: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY RIlQIlfIRED FOR ALL nv CONSTRUC'l'ION. <br /> <br />/1.:, 2.8' <br /> <br />~re Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cotIKERCIAL : <br /> <br />PERKITS REOUESTED <br /> <br />~BUILDING <br />...,J(ELECI1UCAL <br />->J4 KECBANl.CAL <br />...... PLUtlBING <br /> <br />$ <br /> <br />.3~b2Z <br /> <br />Valuation of Total Construction <br /> <br />I~ MIP Service <br /> <br />Florida Power Corp. <br /> <br />;f-::. W.R.E.C. <br /> <br />$ J oSo <br /> <br />Valuation of lIechanica1 Inst:allation <br /> <br />GAS <br /> <br />- ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONS'IRUCl'ION: - Block - Fr8lle - Steel <br /> <br />/VI rl- (It:her <br /> <br />FINISHED FLOOR ELEVAITONS: IV /k fT. <br />, <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? 1=:- <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CORTRACTOR SECTION <br /> <br />~ COIIPANY IJ; f2. ~ <br />if1 State Cert. or Regist. I <br />'..MuJ :;. ~ City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />3=::;-6 <br /> <br />:~CfRICIAN ~ COMPANY C';..I. JDfLr{)~ ta..H:..-T7th- <br />. ~ture(l~~~L ~~~\~O~::~~i:"~ <br /> <br />~ *********** ****************************** <br /> <br /> <br />~ COHPANY )jELSo0 r2.'-/.(Yl ~ <br />L.:I State Cert. or Regist.' I <br />Signature //( ~ City License Registration' '(K <br />~ ****************************************** <br /> <br />PLUKBER. <br /> <br />KECllANICAL . <br />Signature~~~~ <br /> <br />~ CUfpMIY~iLS fJQopi>f.JB U1lS -1K-~ <br />~ State Cert. or Regist. , <br />~ City License Registration I 7!? <br />~ ******* ********************************* <br /> <br />OTRF.R <br /> <br />Signature <br /> <br />~~ <br /> <br />COKPARY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />APPLICAITON APPROVED BY <br /> <br />PERKlT OFFICER. <br />