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<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTtIEBT <br /> <br />OWNER'S IWtE FIOrile< fJ1 pj), rriJ C In I~ <br />. i"'- <br />OWER' S ADDRESS 5" 33 ~ 8 S-t- r f'*' <br />JOB ADDRESS .:$ 5? / () 9 In c.f"k e-t <br /> <br />LEGAL DESCRlP'lION: LOT(S) <br />PARCEL I.D.# <br /> <br />~ Lt.Ctre' <br />BLOCK <br /> <br />PHONE <613 - 5'-b '- 00'-/5-- <br />2-eOA~/v/i~ 3 3.:5$10 <br />I / / 1/ <br />?r-pA7rhLlc<: <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:---.Jiew Construction --..Addition ---..Alteration <br />bign <br /> <br />--Repair _Install <br /> <br />--Kove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Feaily <br />L~erCial <br /> <br />---It/F _' of Units ---It/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WOlUt: W 0.../ i S ~ Y\ <br /> <br />BUILDING SIZB: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: A'rrACII (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS, <br />COtlKERCIAL: A'rrACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY PORHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />----BUILDING <br /> <br />.. <br /> <br />$ 6()rY) ~ <br /> <br />PERMITS REQUESTED <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTBICAL <br /> <br />AIIP Service <br /> <br />Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECIWIlCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />~UllBING GAS ROOFING <br />TYPB OF CONSTRUCTION: ~loclt _Praae _Steel <br /> <br />SPECIALTY . <br /> <br />Other <br /> <br />FDlISBED PLOOR ELEVAnONS: <br /> <br />Fl. <br /> <br />IS PROJECT IR PLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BMI.DER <br /> <br />CONTRAC'1'OR SBCTION <br /> <br />.'" ,. ,,' . ~ANY ROt;~iS S,,^ ~i- <br />&. -L r ~ State Cert. eft Ilegist.' f <br />'0 . City License Registration # ,~ '3 <br />.......................................... <br /> <br />. COKPANY~G 'E/~Lir(c.. <br />State Cert or Regist. . <br />City License Registration . <br />.......................................... ~ ~ ~~ <br /> <br />Signature <br /> <br />RT.RCTRIClAN <br /> <br />SianJlture <br /> <br />PLUHBER <br /> <br />O OOttPANY <br />State Cert. or Regist. # <br />(lJ 4 City License Registration # <br />.......................................... <br /> <br />Signature <br /> <br />Signature <br /> <br />IV (Ii <br /> <br />COHPANY <br />State Cert. or Regist. # <br />City License Registration . <br />.......................................... <br /> <br />HECllARIGAL <br /> <br />OTRn <br /> <br />dJ I v;L <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERKIT OFPICER. <br />