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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPRYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br />-I~HN ~NNE Y ~I? "&,fIAlle ~AlAlE->'HONE 7R'.2- 3.!>o3 <br />I <br />390;;13 (!A;e/)IAJA L ,AvE z.:.~IIYRf/-,LLs 7711- 33S'I1.l <br /> <br />OWNER'S NAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />132' 21 {}/IJP tJ~tJtJtJ 11/;20 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-LNew Construction ---"ddition ---"Iteration ..-ltepair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF _' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />____Restaurant & Health Deparbment Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />ST"oRME <br /> <br />~ H-E"b <br /> <br />BUILDING SIZE: ~, <br /> <br />Square Feet, B Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />LBUILDING <br /> <br />$ <br /> <br />~12~ <br /> <br />Valuation of Total Construction <br /> <br />____ELECIRIGAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1fECHAIUGAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />____PLUMBING GAS ROOFING <br />TYPE OF CORSTRUGTION: ____Block ____Fraae -x-'Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FlRISBED FtOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! ~ <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />SiDnAture City License Registration , <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />...............................~.......... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br /> <br />APPLICt\ITOR APPlIlIVEII BY <;i;=~..)jj:]~.............. PERIIIT OFFICER. <br />