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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPBYRHILL5 <br />BUILDING DEPARTHENT <br /> <br />OWNER'S ~~Ob0U+ 4: ,(;;,Sc,LC\ W h'; t-c. PHONE '7&3. -7C;(;;5 <br /> <br />OWNER'S ADDRESS 3q 73C ILl ec<doulo oJ. L OO~ <br /> <br />JOB ADDRESS ~VY) <- As '-C' ~ (j (; t::"_ <br /> <br />LEGAL DESCRIP'lION: LOT(S) #' /3. BLOCK SUBDIVISION t1eQJow~v~ ~ 'h~+c.s <br />(i")Q ~ I"'~ 0r 2 ( ~ OV JO-oocoo - Ot:SO <br />PARCEL I.D.'_'t':!::> 151 'c?---+O<Q. -:;)"- <-''v> - -r (OBTAIN FROM. PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction r( Addition ---..Alteration ---.Jlepair _Install <br /> <br />_Sign <br /> <br /> <br />pmPOsw~E:1 S~eF_ily <br /> <br />-JIove <br /> <br />_Deaolish <br /> <br />----1t/F _' of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---.Jlestaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: i G { X 4 c/ , <br /> <br />Square Feet. 73f;, Height 7't/' <br /> <br />RESIDENTIAL: AtTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: AtTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />v <br />_BUILDING <br /> <br />$ <br /> <br />PERKITS REOUESTW <br />/ .:l. , () " " v~ of Total Construction <br />AIIP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />\ <br />" <br />~ELEcnuCAL <br /> <br />~CAL <br />2..PLmlBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />\, Block <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OORSTRUCTIOR: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FDJISIIED FI.OOR ELEVATIOIIS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />,/c <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />BlTfI .Dm <br /> <br />/7; I I tJ. I I -1 =~ert. or Regist. . <br />(/-aT~ .~ 0 wV'l (.,( City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />=~ ~ aMPARY <br />r.. . . State Cert. or Regist. . <br />ure fJ 1 (tl Own<< City License Registration' <br />... .......................................... <br /> <br />~BK (ii1JJ L ~ COMPANY <br />. tate Cert. or Regist. . <br />Signature J. (!,J Oc:.'~ity License Registration . <br />.............*............................ <br /> <br />=,~i <br /> <br />~ aMPARY <br />State Cert. or Regist. . <br />tJ O~ City License Registration . <br />..*...........*........................... <br /> <br />OTRRR ~/ ~/ / . IL COMPANY <br />. . ~. ,) / / State Cert. or Regist. . <br />Signature ' J- I.A./~ "w'~City License Registration' <br />***...*..**...*.........*..**.**.*.*...... <br /> <br />APPLICATIOR APPIIlIVED BY '11 ~ lJ! dP.7~ PBIlIO:T OFFICER. <br />