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<br />1~'" ."f <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPJlYRlULLS <br />BUILDI.NG DEPARlIIENT <br /> <br />OWNER' S NAtIE <br /> <br />~f, 'Cnl);'cl 30h() SO" <br />32032 t()o(-th A~~ <br /> <br />PHONE <br /> <br />OWNER I S ADDRESS <br /> <br />-Z~l4r h\'\\~ <br /> <br />IF=-L <br /> <br />339-tQ <br /> <br />JOB ADDRESS ~ 'IY\ \:. <br /> <br />LEGAL DHSCJUPl'ION: LOT(S) <br />PARCEL LD.' II -c26 - ;Lf <br /> <br />f'..;'\---\-ac~ <br />BWGK <br /> <br />SUBDIVISION <br /> <br />L ~ <br /> <br />WORK PROPOSED:_Nev ConstrucUoo _Addition _Alteration _Repair ~Iost.a11 <br /> <br />"i Sign <br /> <br />_Hove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: Single Fallily <br />leo.aercial <br /> <br />_"'F <br /> <br />_, of Units <br /> <br />---.M/H <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />--..Restaurant. Healtll Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet I <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cottHERCIAL : <br /> <br />AITAGII (2) PLOT PLAliS . (2) SKI'S OF BUlLDI.NG PLANS . (1) SET ENERGY FORHS. <br />ATI'AGII (3) SETS OF BUILDING PLANS . (1) SET ENERGY FORKS. <br />PROPERTY SURVEY RIrQUIRED FOR ALL NRV GONSTRUC'ITON. <br /> <br />PERtIITS REOUESTED <br /> <br />_BUlWI.NG <br /> <br />$ Co 'J 4-0 , C() <br /> <br />Valuation of Total Construction <br /> <br />_ELECI1UCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_flEGllARICAL <br /> <br />$ <br /> <br />Valuation of lIecbanical Inst:a.1laUon <br /> <br />_PLlJPIBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF GONSIKUC'ITON: _&lock _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJEGI' IN FLOOD ZONE AREA! <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRAcrOR SEGI'ION <br /> <br />BUILDER <br /> <br />GOtIPAliY <br />State Cert. or Regist. , <br />City License Registration , <br />.............................*............ <br /> <br />Signature <br /> <br />ELECIR1CIAN <br /> <br />cottPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SiJm#ltu~ <br /> <br />PLUKBER <br /> <br />COfIPANY <br />State Cerl:. or Regist. . <br />City License Registration , <br />..............*............*.............. <br /> <br />Signature <br /> <br />flECBANICAL <br /> <br />COfIPANY <br />State Cerl:. or Regisl:. , <br />City License Registration , <br />..................*....................... <br /> <br />5 ignature <br /> <br />::.~e~~J-~ <br /> <br />COtIPARY A\=Qk ~'" " ~ 'tln' ~ <br />State Cert. or Regisl:. ,ILl') \ Y X <br />City License Registration' 'I \'1 <br />...............*.......................... <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />