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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYIUlILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHE ..))E J.-J AJ ( c~ A. M nA) J+CC PHONE (")/ 8) ,')~ '} -S5-;~8' <br /> <br />../ <br /> <br />OWNER'S ADDKFSS (/7,~ ,R f1AJJ..! F L1 !<. D At?, DD LE t;..J<0 VC }J')I' 1,2~'So <br />I) I <br />JOB ADDRESS ' ~ <;? 4'). 7 J-J- ~I r- (! 2 f P If V /\ H ILLS') FLA-/ <br />J / <br />LEGAL DESCRIPTION: LOT(S) /0 B~SUBDIVISION <br /> <br />PARCEL I. D. f /!j - ~:{ Ie - J~ / - () 0 / l'J - ("';..33 r; (J - C I CJ 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />/' <br />WORK PROPOSED:_New Construction .2::j.ddition L...A1teration ~epair _Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _Single Faaily ---1t/F _' of Units ---1t/H <br />~ ec-ercial _Indust. _Swill. Pool _Other <br />-6estaurant Ii: Health Departaent Approval <br />DESCRIPTION OF WORK: /lZJD jj/)7F~1{!cN c';lf)JJ6--f Sllau.Jf(MH /AJP (itJl-!.LI[J.Y//j-/ K!Tc!f~JL.1 <br />J <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />---LBUILDING <br /> <br />$ / ~, ;;/(', .. 00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECl'RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1tECllANICAL <br /> <br />$ <br /> <br />Valuation of tlechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br />TYPE OF COIISTRUcnON: _Block ..I:::::-Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIlIISBED FLOOR ELEVATIOIIS: <br /> <br />FT. <br /> <br />IS PROJEel IN FLOOD ZONE AREA? f,// <br />YES NO <br /> <br />..........******************************** <br /> <br />CONTRAelOR SEelION <br /> <br />BIITT.DER <br /> <br />/, <br />, / <br />Signature /.':. ' <br />,.. ,,-<'::,.ltC4z-.:,---z.--;..I <br /> <br />COKPARY .--c1-VV')-~ "-... <br /><< State Cert. or Regist. . <br />;j -:;;?-zz.>zvv'?/'-- City License Registration . <br />************************************...... <br /> <br />RT.~CTRICIAII COKPARY tJ.---&1~1.. ,,"----. <br /> <br />/,) <7 State Cert. or Regist. f <br />SianAtur~~~ /7' ~hr~ ~ City License Registration' <br />...........*.............*................ <br /> <br />~ <br />PLtDlBER COKPARY 0-1/v,.---v <br />/) ,/7 .. State Cert. or Regist. f <br />Signatur~ ~/"'~ tll /~l?iVC>~ City License Registration' <br />.....*........*........................... <br /> <br />tlECBANICAL COMPARY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />.......................................... <br /> <br />OfRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />