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<br />/ ;J,:c..I- - y.. Y <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPIIYIUIILLS <br />BUILDING DEPARTKENT <br /> <br />/. '/~)- '~PH <br /> <br />OWNER' S RAKE <br /> <br />WlJeNKR- <br />OWNER' S ADDRESS,1 tJ;r:. 7tJ {,.Q.i R I ~E WAr <br /> <br />JlIC-ro~ <br /> <br />PHONE <br /> <br />7 Pd .- P'I<J'l <br /> <br />./)e , <br /> <br />JOB ADDRESS <br /> <br />_, /:1 r?J 12- <br /> <br />LEGAL DESCRIP'fION: IDT(S) BLOCK SUBDIVISION <br />PARCEL I.D....:;>-;;;t-.:}I-O/:7{)~-tJtJtJoo~tJ7/)O (OBTAIN PROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: /New Coostruction ---.-.Addition --Alteration -.Jtepair _Install <br /> <br />_Sign <br /> <br />----Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: L/Single Faaily <br /> <br />----1t/F _.. of Units ----1l/H <br /> <br />_~ercia1 <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: CcJAJCU-'/C~ j)/J/vE - SflfJO - C;a.teJ::>OR., <br /> <br />BUILDIHG SIZE: <br /> <br />r' X /.2.. . <br /> <br />9b <br /> <br />e / <br />Square Feet, 3-'J Height <br /> <br />RESIDEBTL\L: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATrACH (3) SETS OF BUILDIHG PLANS &: (1) SET ENERGY FORHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />V;UILDIRG <br /> <br />$ <br /> <br />'lId!>, 00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTlUCAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1tECllAllICAL <br /> <br />$ <br /> <br />Valuation of Hecbanical Installation <br /> <br />~UKBING GAS ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF CONSTRUCTION: -Block _Fraae _Steel <br /> <br />Other <br /> <br />PDJISBED FLOOR ELEVAnOIlS: <br /> <br />PT. <br /> <br />IS PROJECT 1R FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Bun.nER <br /> <br />CONTRACTOR SECTION <br />. . ,.cOtIPAU )JC-tE /7 /... ft. tft . <br />/J /1// j.... J', ' State Cert. or Regist." C~(;O~l/hPlJ <br />~~ City License Registration" /'~D <br />, . <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. .. <br />City License Registration .. <br />.......................................... <br /> <br />Sianature <br /> <br />Signature <br /> <br />COMPAU <br />State Cert. or Regist. .. <br />City License Registration . <br />.......................................... <br /> <br />PLUMBER <br /> <br />KECllARICAL <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. I: <br />Signature City License Registration I: <br />.......................................... <br /> <br />APPLI+~ ~~. BY . " '" .~~." , 'PEIlIlITdFFlCER. <br /> <br />...... -"~,.".,.". ~ #' ..: : <. <br />Ii :" . - ,'~'" ~ j <br /> <br />~ <br />n,~;Jt <br />