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<br />OWNER I S ADDRESS <br /> <br />~q- ~Ail~ <br />31011<; -touVl. 'v\ <br />C;:t\tA~ <br /> <br />(~ . ./t 1~,J3-~r <br /><jF~ --1; V v'(<}>- <br />'.1~ <br />c:::::"I/1 ' <br />PB~NE 7B3 -Z(;;Z;q <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILIS <br />BUILDING DEPARTKENT <br /> <br />OWNER I S NAME <br /> <br />V COld <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction -----..Addition ---..Alteration ~epair _Install <br /> <br />_Sign <br /> <br />--'love <br /> <br />-Deaolish <br /> <br />PROPOsm~E: _S~eF_ily <br /> <br />--'l/F _' of Units --"/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant Ii Health Departaent Approval <br />DESCRIPTION OF WORK:Jiij{JJ~ th-vl A'^~ ~, <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDEIITIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDIRG PLANS Ii (1) SET ERERGY FORMS. <br />ATTACH (3) SETS OF BUILDIRG PLANS Ii (1) SET ENERGY FORHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTm <br /> <br />~UILDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RI.RCl'RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---.JIECIL\IIICAL <br /> <br />$ <br /> <br />Valuation of tlechanica1 Installation <br /> <br />~UtlBIRG GAS ROOFING <br />TYPE OF alNSTRUcnON: -..JIloclt _Pralle _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />F1IIISHBD FLOOR ELEVAnONS: <br /> <br />n. <br /> <br />IS PROJECT IN FLOOD ZONE AREA" <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RIJTTJ)ER. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT .RCTRTCL\II <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SiRnAt.ure <br /> <br />PLUtlBER. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />tlECIIARI~ _ \-<. \I~ ~N ~cl ~ F 'AN cotIPANY l-l SkeJ f"rl ~ TA-L <br />r-,) (' C\ (,) .AP. State Cert. or Regist.' :::> 00 :z... <br />Signature~~~ ~. 'S\~~ City License Registration' <br />.......................................... <br /> <br /> <br />omu cotIPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAfiON APPROVED BY PERKlT OFFICER. <br />