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<br />APPLICAnON FOR PERHIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S NAHE -;;;. /YJ P II <br />. <br /> <br />OWRER'S ADDRESS / t, t:J / <br />JOB ADDRESS S- (p S- <g <br /> <br />Foo /) ..$ L< ,I<P. <br />/5,9)('~ SI PJf)/IJ ( <br />6-P LL 57'- <br /> <br />PHONE <br /> <br />k_ <br />C;/ y <br />. <br /> <br />~/ h /7"S <br /> <br />p <br /> <br />LEGAL DESClUP'lION: LOT(S) <br /> <br />BLOC1L...-SUBDIVISION <br /> <br />PARCEL !.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ---Addition --J\1teration __epair KInstall <br /> _Sign ---.JIove _Deaolish <br />PROPOSED USE: _Single Feaily ----1t1 F _' of Units ----1t/H <br /> Lec-erCial _Indust. _Swia. Pool _Other <br /> <br />-'Restaurant Ii: Health Departaent Approval <br /> <br />DESClUP'lIOB OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~uare Feet, <br /> <br />Height <br /> <br />RESIDERTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUlLDIBG PLANS Ii: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET BERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />~ClWlICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ 320'0. ~ <br /> <br />Valuation of lIechanica1 Installation <br /> <br />_PLUllBDfG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE ()F COBSTRUCTIOB: _Block _Fraae _Steel <br /> <br />Other <br /> <br />PDISBBD FlOOR. ELEVAnOBS: <br /> <br />n. <br /> <br />IS PROJECT DI FLOOD ZORE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SEctION <br /> <br />BIITT .DER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RJ.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SilmAture <br /> <br />PLIDIBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECllAHICAL <br />signature"7L m <br /> <br />~ lXlIIPAIIY / IE",) ;-h/J E ,4 /t- I <br />State Cert. or R.egist.' c..l9 C- 0 <br />~ City License Registration' /S"'1 <br />....................................... <br /> <br />;.L 7<6 2;:J <- <br />'IS 1 <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATIOR APPIllIVED BY J1 tj hI.t' r ~1 (J <br /> <br />PERHIT OFFICER. <br />