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<br />APPLICAfiON FOR PERKlT <br />CITY OF ZEPIlYRBILLS <br />BUILDING DEPAR'l'HEHT <br /> <br />OWNER'S RAHE /~.I~~_ /3 d ~~ PHONE /-J'/3-7RY. ~/3 <br />OWRER'S ADDllESS .~g1t/J !!psrit:. .6uf-~f?t~, ~/. 33~Y() <br />JOB ADDRESS :ft67t// C If's1/C f....,I. f)7I'd7~ y/ 33.S"'fO <br />, , <br />LEGAL DESCRIPTIOIi: LOT(S) B~SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM. PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :~ew Construction ---!addition ~teration .-Jt.epair _Install <br /> _Sign /Hove ->>eaolish <br />PROPOSED USE: ~iogle Faaily ------"'F _' of Units .--.J'I./ H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />~estaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTIOII OF WORK: <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />~uare Feet t <br /> <br />Height <br /> <br />RESIDEIJTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIiSTRUCTION. <br /> <br />PERHITS RROUESTED <br /> <br />-BUILDING <br /> <br />$ <br /> <br />valuation of Total Construction <br /> <br />RI.RCTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />.-JIECBAIIICAL <br /> <br />$ <br /> <br />valuation of Mechanical Installation <br /> <br />.-J'L1IIBDiG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIISTllUC'fiOIl: ~1ock _Fraae _Steel <br /> <br />Other <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />FIRISBBD FLOOR BLBVAfiOIlS: <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CORTRACTOR SECTION <br /> <br />RIITT.DER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration · <br />.......................................... <br /> <br />IU.RCTRICIAII COMPANY <br />State Cert. or Regist. . <br />SignAture City License Registration' <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />MRCllAHICAL COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />IlTIIRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />