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<br />APPLICAnOR FOR PERKIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDDlG DEPAR'11IERT <br /> <br />OWNER'S IWtB (;1om4J 'Fo..!:Tf:::IL PHONE <br />OWNER'S ADDRESS .;5.ftl~ :3? // "7 H_--;:U--k#-~t::/ ~.J-4,G~ <br />JOB ADDRESS ..32/1s- - 3J II 7 rJ<.4,e~f::/ <Sq u4/8<~ <br /> <br />LEGAL DESCRIP'rIOR: LOT(S) <br /> <br />BLOCIL.--.SUBDIVISION <br /> <br />PARCEL LD.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:---.Bew Construction ---.;\ddition .6.Iteration ~pair _Install <br /> <br />_Sign <br /> <br />----1Iove <br /> <br />---Peaolish <br /> <br />PROPOSED USE: ~iDg1e F_ily <br />..JL:eo-ercial <br /> <br />--'I/F _' of Units --'I/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-.Jlestaurant Ii: Health Departaent Approval <br /> <br />DESCRIP'rION OF WOH: II'lOVf: W/lI..-i..- S. <br /> <br />I A.-J E K/STI AJG /3-u I.cA /J...) G <br /> <br />BUILDIRG SIZB: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDERTIAL: <br />COMKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDIRG PLANS Ii: (1) SET UERGY FORMS, <br />ArlACII (3) SETS OF BUILDDlG PLANS Ii: (1) SET ENERGY FORtIS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />__UILDIRG <br />v--' RT,RCTRICAL <br /> <br />AIIP Service Florida Power Corp. <br /> <br />W.R.E,C. <br /> <br />---lIEalAllICAL <br />-0I.umIliG <br /> <br />$. <br /> <br />Valuation of lIecbanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF COIlSTRUcnOR: ~ocIt -"raae _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJECT IIi FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />..( <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />.. <br /> <br />cOtIPAIIY &;.L ,.s7dt.;; (lO;J.s7eOCTI"OIJ <br />State Cert. or Regist. . <br />City License Registration . / ff / <br />.......................................... <br /> <br />RIITIJlER <br /> <br />PLUMBER <br /> <br /> <br />COMPANY JOI2.IJ4.J bLEQ...ier ':!- <br />State Cert. or Regist. . , ? X-- <br />ty License Registration . <br />.................................. <br /> <br />Signature <br /> <br />or JDr2IJ~ ~~-CTIC(C- <br />te Cert. or Regist. . J '/ <br />/ <br />City License Registration . <br />...................................... <br /> <br />IlECllABIGAL <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. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATIllII APPIIllVBD BY ,);1 ~--C< it Jtl tr<F- ~ <br /> <br />PERKIT OFFICER, <br />