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<br />APPLICAnON FOR PERKlT <br />CITY OF ZEPIIYRBILLS <br />BUlLDIHG DEPARDIENT <br /> <br />OIIN8R'S IWII\ itJ€ Pauumt$WJplteP/NI<IJ(1.LS ~W~~ f3t,? ]f!>3 ns'1 <br /> <br />OWNER'S ADDRESS 4-z.-So ('Arvll3fVt 066 J21J. / F()fV1 W(J7l.;17J. ,T;c 7CJfSS <br />~ J I ( <br />JOB ADDRESS 4--3'?o dO ;;;.r - ~ffY(lA+ULS FL, -:S35'40 <br />( I <br />LEGAL DESGRIPTION: LOT(S) 71112, f?, 74; 57, MB~SUBDIVISION <br /> <br />PARCEL I.D.' l~"'J~-d/- DO'?/} -'O~'1oo--6c>ov (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ~ition ----Alteration -.Jtepair _Install <br /> -8ign ---1Iove ->>eJIolish <br />PROPOSED USE: ~ingle F_ily ---1:t1 F _' of Units ---1:t/H <br /> _ec-ercial -'L.Indust. ~will. Pool _Other <br /> <br />Restaurant & Health Departaent Approval <br /> <br />DESGRIPTIOB OF WORK: <br /> <br />W~.5E: 4PA-1'{SfO^f <br />, /SOIO () 0 Square Feet, ZZ- Height @...E3AI/G <br />, <br /> <br />BUlLDIHG SIZE: <br /> <br />x <br /> <br />RE8IDERTIAL: ATtACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COHKERCIAL: ATtACH (3) SETS OF BUlLDIHG PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCnON. <br /> <br />/BUlLDIHG <br /> <br />PERKlTS REOUESTED <br />$ ~. 3Q6,44Q, 00 Valuation of Total Construction <br />f , <br /> <br />RT.RCTBICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--JlEClWlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-PLutlBIHG GAS ROOFING SPECIALTY . <br />TYPE OF COBSTIlUcnOB: .--JUoclt -Fr~ v'" Steel 6N~ Other <br />FUlSBED F.I.OOR ELEVAnONS: B4(p 7 FT . IS PROJEGT IN FI.OOD ZONE A1lBA'l L <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br />BUII.DER . '~ARY 12Av'W1 CoIi$7. (1, I (,..,Co-' <br />JJ.~ State cert. or Jlesiat.' C6"CO Iq~-u, <br />Signature" City License Registration . 47:,S <br />.......................................... <br /> <br />RI.RC'l'RJ:GIAB COMPANY Dk~ c, (lcSSM.A-1-f, / ((c.... ~ <br />J ~ .-j~ /d State Cert. or Regist.' EC..DOO oqC?Cf <br />Si...ture/V.........:.- of', ( -" City Lict!ll8e Reaiatration . ..;2 90/. <br />.... ..................................... <br /> <br />PLIDIBER J: ~ COMPANY 7co'TT pf.-(//J'I e:" NG <br />/' ~ State Cert. or Regist.' C-Fc..O let' ez.-. <br />Signature-/: ~ - ~. City License Registration . I 7 J. <br />.. ..................................... <br /> <br />MEGllARICAL <br /> <br />?Jf~ <br /> <br />,/ /) COHP~/ V <br />Z ~ Sta~ Cart. or BiBt.' <br />City License Registration f <br />......... ................................ <br /> <br /> <br />Signature <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERKlT OFFICER. <br />