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<br />-,.'''!''',..'';C',.,',..".''I>,,.....'',.,.,...-wr-n....___.,,...-...'''''''''''_,''"'f.','i ,. <br /> <br />APPLICAnON FOR PERKIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPAR'l'HENT <br /> <br />OWNER'S NAHJLJ<A s ~ N I 1/.-4 (2{l ~ <br />OWNER'S ADDBESS H2L 1-+#11 EV Qb. <br />JOB ADDRESS E/f ,..J:) L~ L-L- 13 L~ V D " <br /> <br />S-rcrzts, I (lC. PHONE r; 2 I - 02-44- <br />tPA} r:L 3_?b Ie <br />~.~p Ii Y 12m LLS <br /> <br />LEGAL DESCRIPl'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.# (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:-Rew Construction ---"<<Idition ~teration --..Repair _Install <br /> <br />_Sign <br /> <br />---..Kove <br /> <br />-Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />/ec-erCial <br /> <br />---1J/F <br /> <br />_' of Units <br /> <br />---1J/B <br />~~er <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Resta~~D~l~ D~~~~~ApWoH()v A11D _ <br />DESCRIPTION OF WORK: nS~L-~";4 wAi1ctcE. 8).J2~A{F(~ fYlD{)/ FI f2l) <br />I COO /2/ eoo I {;- SYSTEm <br />BUILDING SIZE: X. ~re Feet.' Height on THE B4Cl.:(. F u~ r <br />(2c~) F of f!-f /J12 <br />RESIDEI1TIAL: AtTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. Dr: t: <br />COMMERCIAL: ArtACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. SI()e-c-. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />$. ~.DO <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTlUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />___ClWll.CAL <br />-PL1IIB1NG <br /> <br />$. <br /> <br />Valuation of Hechanica1 Installation <br /> <br />GAS <br /> <br />~ ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FDIISIIBD FI.OOB. ELEVAnONS: <br /> <br />Fl. <br /> <br />IS PROJECT I.R FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BlrrT .DRR <br /> <br />COHPANY <br />State Cert. or Regist. # <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />RT.RCTRICIAIJ <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration f <br />.......................................... <br /> <br />SiA'QAture <br /> <br />PLUtlBER <br /> <br />COttPANY <br />State Cert. or Regist. # <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />IlECIIAIf[CAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br /> <br />COMPANY ---rAfY1 P ft f2co F / (l,e-CO. <br />State Cert. or Regist.' cc.c 0324C-t2... <br />City License Registration <.f I CO <br />.......................................... <br /> <br />Signature <br /> <br />APPUCAnOR APPIIOVIlD BY '71., ~;j .lJt '9-T.h-"~ <br /> <br />PERKIT OFFICER. <br />