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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTKEBT <br /> <br />PARCEL LD.' <br /> <br /> <br />~ /" . <br />l,)cJhA( G7'reyc.\-AV <br />:d/(A <br />:?f',:30Y /S/ YJ7 <br />SIA-M/Z <br /> <br />PHONE <br /> <br />OWNER' S BAMR <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: <br /> <br />~pair _Install <br /> <br />_Sign <br /> <br />~ve <br /> <br />->>eaolish <br /> <br />P~roSW~E: _S~eF_ily <br /> <br />--1'f/F _' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant & Health Departaent Appro!al <br />DESCRIPTION OF WORK: (;0 /l/C! r-e//e Dr I V e tU -4 '7 <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-----BUILDING <br /> <br />./7 <br />;2' <br />$ /tytJ ~ <br /> <br />PERKITS REOUESTW <br /> <br />Valuation of Total Construction <br /> <br />_ELEcrIUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />.-JtEClWlICAL <br /> <br />$ <br /> <br />Valuation of lIechanical Installation <br /> <br />_PLUtlBIBG GAS ROOFING <br />TYPE OF CONSTRUcnON: _Block _FraIM! _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIBISBED FLOOll ELEVAfiONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BITTT DO COIIPANY <br />State Cert. or Regist. . <br />City License Registration . <br />................................... <br /> <br /> <br />RT.'RCTRICIAIJ COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />PLtDtBER 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 /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />