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<br />APPLICATION FOR PBRKlT <br />CITY OF ZEPIIYRBIU.S <br />BUILDDlG DEPARTHBIIT <br /> <br />G"'!-/STIr"iJr ?l?~~, <br />~ '15'80 -'8 <br /> <br />OWNER'S twm Ci+AaLe-s ct--flzp.~c:..IS L4-N G" PHONE ~'3- 5'7<0 -102-1 <..... <br />OWNER'S ADDRESS 9l.3o 34Tlt W~y PIf'JE-{"S ;:'fl1t.-k'- 3L/(g~(o <br />JOB ADDRESS ~ 7 Z ~ S-rf3VerJ5 ~\+\ ~P#r?/Z.H ILLS Pl.-, <br />5n:llt:AlS I;lE-I'JN <br />LEGAL DESCR.IP'1'ION: LOT(S) .Z-~ BLOClL--SUBDIVISION 5ILVl?/Z. 0/1 k S <br /> <br />PARCEL I.D.# <br /> <br />3 - z.~ - 2/- O/fI;O - bOO (;) 0.0280 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:--X..aew CQnstruction ---..Addition ~teration -Jepair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />~lish <br /> <br />PROPOSED USE: _Single F_ily <br /> <br />_ec-ercial <br /> <br />---..JI/F _' of Units ---..JI/H <br />_Indust. ~swia. Pool _Other <br /> <br />--Restaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTIOR OF WORK: ~/fY\lrh::r fb-DL~ ~N(.t-OSCJ:Q.G <br />( , <br />BUILDDlG SIZE: '20 X 3 z.t . Square Feet. Height <br /> <br />RESIDEBTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDDlG PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY IlEQUIRED FOR ALL NEW CORSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDDlG <br /> <br />$ <br /> <br />/0, DlCj~ <br /> <br />, <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTKICAL <br /> <br />AIIP Service <br /> <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECllAllICAL <br /> <br />$ <br /> <br />Valuation of 1lecbanica1 Installation <br /> <br />-PLUKBDlG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTr <br /> <br />TYPE OF mIlSTRUCrIOIi: --Block -'raae _Steel ~~ <br /> <br />Other <br /> <br />FIIIISBED PLOOll BLBVAnOIlS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZOHE AREA., <br /> <br />BlffIJ1RR <br /> <br /> <br />YES HO <br /> <br />.................................... <br /> <br />Signature <br /> <br />CONTRACTOR SECTION' <br /> <br />mtlPAIfY fJ-LPI,.JfE f.Co~ r/-5:IJ:t 5 I,.J f.-. <br />State Cert. or Regist. . i2P co hStjlB <br />City License Registration' ....3? <br />.......................................... ' <br /> <br />Signature <br /> <br /> <br />~n 0,10 Z. 7'J$' <br /> <br />COMPAQ: Jiki()~ h'/<t-fn,- <br />State Cert. or Regist. # G tt... '" 0 Co) ~:f' r <br />fL City License Registration'. ~ ~ <br />........................................ <br /> <br />PLlIIBER <br /> <br />/ COMPANY /.}~p,,.Jt; /teL.") CI- ~~ ..,.Ie... <br />o State Cert. or Regist. #RlbOto~<lI!: <br />City License Registration . ;r <br />......................................... <br /> <br />Signature <br /> <br />COHPANY bvlF p.,R.EGZ~ fJl/l..lm,tJ Vf\I\ <br />State Cert. or Regist. # I2x to ~97? <br />"v,L[) City License Registration f 97 <br />.......................................... <br /> <br />OTRRR <br /> <br />Signature <br /> <br />#J In <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />.......................................... <br /> <br />APPLICAnOB APPROVED BY <br /> <br />PERKIT OFFIC~. <br />