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<br />'7(-<<!.ui /0 <3-9C( <br />J712f .f5D"fl <br /> <br />OWNER'S tWm CD/::) Y ,8/2 Y7~ 5/. /V(u- PHON.('S-/3) liG '? '.S- 39/ <br />OWRER'S ADDUSS 3'<;5o;?-c, ~c6f::A-G Q;,h'Tc#Y 4uc?/7c/e!., 2~"pA't/yA/I/s; PC 3ssYt:? <br />/' V" "" <br /> <br />JOB ADDRESS 5f?c?;2~ ~d~RC U.n/-<#V #t/t?/1t/e, Z~~AVyh//I.s' 7?C ?..?s-f/C? <br />/'" "" ", <br /> <br />LEGAL DESClUP'lION: LOT(S) .::? 13 BLOCIL.-SUBDXVIsXON g.c.c;> ~~C.4C A/s (:;"';?j/ <br /> <br />PARCEL LD.' :3 s~J;lS;k~hO/~;b8-9C'qkplO 4 CJos ) (OBTAI.N FROM PROPERTY TAX NOTXCE) <br /> <br /> <br />WORK PROPOSED:~ew CoDstruction ---..Addition L...,uteration ---..:Repair _:Install <br /> <br />APPLXCATXON FOR PERKIT <br />CXTY OF ZEPBYRHXLLS <br />BUlLDXNG DEPAR'l'HENT <br /> <br />_Sign <br /> <br />---"ove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: ~iDg1e Faaily <br />-Leo-ercial <br /> <br />---"IF _' of Units ---"/B <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />___..Restaurant Ii Health Departaent Approval <br /> <br />DESCRIP'fiON OF WORK:~T-t"TI&~ ~mocU <br /> <br />BtrrLD:ING SI.ZE: 5<1 X '7"~ J'/Ib Square Feet, Height <br /> <br />RESIDENTIAL: A1TACH (2) PLOT PLANS Ii (2) SETS OF BUI.LD:ING PLANS Ii (1) SET ENERGY FORMS. <br />COMHERCl:AL: ArrACH (3) SETS OF BUI.LD:ING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTXON. <br /> <br />/~UlLD:ING <br />~ Rl.RC1'RICAL <br />---1IECllAUCAL <br />-PLUflBDfG <br /> <br />PERMITS REQUESTED <br /> <br />$ /~ ri>cJ3,(.?O Valuation of Total Construction <br />- 1'1/ <br />7 7. - IE-^ 1<; T!../..;rvice <br />/"-> ~ 5e Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical :Installation <br /> <br />GAS <br /> <br />ROOFXNG <br /> <br />SPEc:lALTY <br /> <br />TYPE OF CORSTRUcnON: -Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJEct Df FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br /> <br />BIJTIJ1RR <br /> <br />CONTRACTOR SECTION <br /> <br />mKPARY A&i~;~.;; 1 ~flccl~~ .:);,0. <br />State Cert. or Regist. . C-..ijIL.-1J:t;;? '7...2- <br />City License Registration' __~_ <br />........................................ ,/ <br /> <br />COKPARY Uwtle NC C ~, IftLUS <br />State Cert. or Regist. .erz.~ 17S- <br />City License Registration . 0 1'71- ..2 ~ <br />.......................................... <br /> <br />Signature <br /> <br />PLUMBER <br /> <br /> <br />L f' ./ <br />I <br /> <br />Signa <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COHPARY <br />State Cert. or Regist. '_ <br />____ City License Registration . <br />.........*............................*... <br /> <br />Signature <br /> <br />APPLXCATXON APPROVED BY <br /> <br />PERKIT Of'fXCER. <br />