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<br />/4c?/r-c, e <br /> <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPARTtIENT <br />,7 <br />~~;c//(y <br /> <br />'71 'R' 91 <br />I , <br /> <br />.~ ' "06- 1 <f <br />)'" ..~ .' '. <br /> <br />~~ <br />OWNER'S . d- <br /> <br />OWNER'S ADDBBSS 3 F7 cJ 6 <br /> <br />JOB ADDRESS <br /> <br />o <br /> <br />LEGAL DESCRIPTION: LOT(S) P:l '3 BI.OClL--.-SUBDIVISION <br />PARCEL I.D.t -5 5 -,~ s-- )/ ~ C. (; / C - / ~ ~ 00. OOO() (OBTllN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:--Jiew Construction ~ition ----^Iteration --.Jtepair _Install <br /> <br />_Sign <br /> <br />--IIove <br /> <br />-Deaolish <br /> <br />PROPOSED USE: ....t.single Feaily <br /> <br />--.Jt/F _' of Units --.Jt/H <br /> <br />_ec-ercial <br /> <br />_lDdust. _Swia. Pool _Other <br /> <br />Restaurant & Health Departaent Approval <br /> <br />DESCRlP'fiOR OF lilIIIX. $.i:1:<;'..f=- ~ ocPn- <br />JO .t)o. <br />BUILDING SIZE: ~ x3?', .:I Jl ~square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATtACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET DERGY FORKS. <br />ATtACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />hUlLDING <br />X RJ.RCDUCAL <br /> <br />$ <br /> <br />/) C. ,..,i <br />?\ _.J {/ L/ <br />. <br /> <br />Valuation of Total Construction <br /> <br />~9 <br /> <br />PERMITS REOUESTED <br /> <br />.3 t:J AIIP Service <br /> <br />)( Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.JIBCBAlII.CAL $ Valuation of llechanical Installation <br /> <br />-PLUHBING GAS ROOFING '~SPECIALTY <br /> <br />TIPIl OP COIISDUCrlOII: -...JIloc:t --Y~ ~teel V~~ Other <br />! / J <br />FIllISBBD F.tOOB. ELBVAnONS: I Ii- FI' . IS PROJEct IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES <br /> <br />i- <br /> <br />BUlI.DER <br /> <br />CONTRACTOR SECTION <br />.. . <br /> <br />~7cf ~'~~~' "=~rt. orlleaiat.' <br /> <br />(?~{ ~!j'Z.[~./' . ~. City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT.RCTRICIAR ~...<' .. f.' f~ / /' . -'~ <br />G~.j't./ ~ 1/(:).-~~7 <'~ <br /> <br />SiMlature <br /> <br />C"~~-L".-'"L-_C-- L--- <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />.......................................... <br /> <br />PLUMBER. COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration . <br />................*......................... <br /> <br />IlECllANIGAL COHPANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PEBHIT OFFICER. <br />