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<br />., <br /> <br />APPLICATION FOR PERHIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPARTHEHT <br /> <br />crzlM~ <br />C{S <br /> <br />OWNER'S HAHB tfjpy (// d"7 e AlA J l fJe fS <br />OWNER'S ADDRESS l'1b51 ~g ~ ~ ~ <br />4k~~ I <br />- pl.tfse IJ IJ /J <br />LEGAL DBSClUP'lION: LOT(S) '15 BLOCK -;l SUBDIVISION~ Ot"'JPA-- <br />PARCEL I.D.# 3-;;<b--;;</-OlhO -~-O'lSO (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PRoPOSED:bew Construction ---..Addition --..Alteration --Repair _Install <br /> <br />PHONE <br /> <br />CfjI-1~b6 <br />I/lmPtJ P'1.J1 <br /> <br />JOB ADDRESS <br /> <br />b~CS <br /> <br />_Sign <br /> <br />--Kove <br /> <br />--Peaolish <br /> <br />PROPOSED USE: Xsingle Faai!y <br /> <br />--KIF _' of Units _..Jt/S <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--Restaurant & Health Departaent, Approval <br /> <br />DESCRIPTIOR OF 1iOJlI<. ~~.~, I?,.A-- <br /> <br />BUILDING SIZE: X Square Feet, Height,/}JzJz. ~ .~ <br /> <br />RESIDEIITIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UILDlHG <br />>! RT.RcnucAL <br /> <br />X HECllARICAL <br />Kn~~G <br /> <br />$ 'tl.. 000 <br />. <br /> <br />Is:::> <br />$ d900 <br /> <br />Valuation of Total Coostruction <br /> <br />'j, . <br /> <br />A!IP Service <br /> <br />x <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Va1uation of Mechanical Installation <br /> <br />GAS <br /> <br />X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF coBsmucnoN: ~loclt _Fraae _Steel <br /> <br />Other <br /> <br />YES <br /> <br />...2L 2.0"; e, . / <br />NO )( <br /> <br />FIlUSBED FLOOR ELEVAnOBS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />RtmllEB. lllIIPAIIY Q1~ U)".PP^M ~ <br />./J () J /.~ State Cert r R;.;t;lr. c G C?~ <br />Signature ~~ City License Registration , ____ <br />.. .................................... <br /> <br />RT.RCTRICL\R COMPANY 5,1. 5' t::= /~(//? he; <br />. -r2 \ /? State Cert. or Regist.' E: ~ ~ 2-e> t.r..>- <br />SiImAtur~~ ~ ?-7'lA.-- . City License Registration', 2 i(,j"'- <br />.......................................... . <br /> <br />PLUMBER COMPANY ,IY-vvvn tIYJ Y-- ~ tYJt/l?Uf~ <br />~. State Cert. or Jle&ist. .",pl" C>O.:s ~ ri// <br />Signat ~~~y License Registration f /~.!f./ b ~ <br />-.......................................... <br /> <br />~ COHl'AIIY ./1J<-~ -/lIe C, r,2> c , <br /> <br />State Cert. or Regist. , CA.G!) ::s z-..;~? <br />Signa .. City License Registration' J r-{ '" <br />.......................................... <br /> <br />0'l1IRR <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br /> <br /> <br />FICER. <br />, <br />