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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPARTHBNT <br /> <br />OWNER t S NAKB <br /> <br />PHONE <br /> <br />OWNER t S ADDRESS <br /> <br />U ~4'h.~) <br /> <br />LJA~~5 6l1l, <br /> <br />JOB ADDRESS ~ tZJ.f () 03 <br /> <br />LEGAL DES~ION: LOT(S) BLOCIL-SUBDIVISION <br />,PARCEL LD.'.)' ) Y- r:Jh -;:2/ - b.!J CJ CJ.- () CJ () C3 () - ~~~N FROM PROPERTY TAX NOTICE) <br />~ ----- <br />--- <br /> <br />WORK PROPOSED:~ew Construction ---..Addition -Alteration ---..Jrepair ._Install <br /> <br />_Sign <br /> <br />---...JIove <br /> <br />~lish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---.JI/F _' of Units ---.JI/H <br /> <br />_~rcial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />----...Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />, <br /> <br />Square Feet, <br /> <br />Heisht <br /> <br />RBSIDDTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS & (1) SET YOGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDI.NG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RT -BC'l'.RI.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----llEClWlICAL <br /> <br />$ <br /> <br />Valuation of Kecbanical Installation <br /> <br />~ING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnON: ______lock _Fraae _Steel <br /> <br />Other <br /> <br />FIRISBED F.tOOll ELEVAnOBS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRAClOR SEClION <br /> <br />BIJTI.DER cotIPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />RT.RCTRICIAR COKPANY <br />te Cert. or Regist. . ) <br />ity License Registration . .~~ <br />................................... <br /> <br /> <br />PLlDIBER COKPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />.......................................... <br /> <br />IlECHUlCAL COKPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERKIT OFFICER. <br />