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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTHERT <br /> <br />/'C' -<9- ?-Y'I <br />I,r l7 0 'F 1-1 <br /> <br />rn /-=p, 00'-"..\ <br /> <br />eVOO<D <br /> <br />PHONE f,9t:J 65()6 <br />'-DO? .:~ {-/,l {S s35((O <br />J.-.c? 04/ <br /> <br />OWNER'S RAIlE <br /> <br />Gt.o~G,e d- mf1G 'Tf\'/LDrz <br /> <br />OWNER'S ADDRESS '3 7 ~ 5 I <br />JOB ADDRESS '3 Cj fo "'5 ( <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />yY) e'/;1 POW .vvooD <br /> <br />BI..OCIL..--.SUBDIVISION <br /> <br />PARCEL I. D. # (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ---Addition ---..Alteration P.epair _Install <br /> <br />_Sign <br /> <br />---Kove <br /> <br />----PeIIOlish <br /> <br />PROPOSED USE: .JQ.Single Faaily <br /> <br />----1J/F _' of Units ----1J/H <br /> <br />_ec-ercial <br /> <br />_Iodust. _Swia. Pool _Other <br /> <br />---.,;Restaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: C-. Q A'i G <br />BUILDING SIZE: {!J (0 X Lj 0 , <br /> <br />bQft'D~ r&AfYl R(20c(t0d ?eJ21r1'7vkf? D.t 1I0,T1R.. <br />Square Feet, f!j Height <br /> <br />RESIDEIITL\L: ATrACB (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLABS Ii: (1) SET EHRGY POlUtS. <br />COMMERCIAL: ATrACB (3) SETS OF BUILDING PLABS Ii: (1) SET EBERGY POBltS. <br />PROPERTY SURVEY BEQUIRED POR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />.-BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />Rl.RC'I'IUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.JIECIIAlUCAL <br /> <br />$ <br /> <br />Valuation of lIechanica1 Installation <br /> <br />-PLUHBIBG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF coNsnucnoN: ___.JSloclt _Fraae _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAUONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA' <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />RIJTUlER <br /> <br />CONTRACTOR SEcnON' <br /> <br />cotIPABY . c:,eec; Ht:~ rzc( t;..)C <br />~ q1;g State Cert. or _lat. t C'Re 050.:;t?,q <br />City License Registration . #.. 3 ~ <br />. ....................................... <br /> <br />Signature <br /> <br />Rl.RCTRTCIAIII <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />SilmAture <br /> <br />PLmtBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECBANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAUON APPROVED BY <br /> <br />PERHIT OFFICER. <br />