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<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTHENT <br /> <br />J'Y? r -+ yYl r s ~ '" '('\.' \ ~ j/Y).<::J.L ----;? s. ~ <br />OWNER'S HAHE 'J '-J PHONE <br />OWlIER'S ADDUSS ? t!::>7 )lrQ~O tv' I~~C. 'J t1. /YEw?~ J2'cYr.2(, 8:... g:r'.(~S <br /> <br />JOB ADDRESS b~ 5;'7 ~(2S~-:::o:::''? J:)I1, ?Zeh'1e. )-~; IJ-3. PL, <br /> <br />LEGAL DESCRIPfION: LOT(S) 8'f-y,~'" .:::>1==~~ C SUBDIVISION 6R5~~,:::>:>~ - S,LY.f'(2c:>Pl~ <br />,,~ - DOl <br />PARCEL LD.' ~ C':; I D t./ - 005 C> -oDeo D -DL.V&sTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PRoPOsED:6ew Construction ----"'ddition --Alteration --.Jlepair _Install <br /> <br />_Sign <br /> <br />-JIove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: X Single F8IIily <br /> <br />----1t/F _' of Units ----1t/B <br /> <br />_ec-ercia1 <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />.-Restaurant & Health Departaent Approval <br />a .;t;ev ~~..,.... .,!;>F' ('=:t S; l'" <=\1 ~ r;;. "...... " y ---::J)w-s. U r ~ t'1 <br />DESCRIPfIOII OF WORK: ~-, <br />~ ,..- /7~ 3 ~ ;",:. ""'1' J t.-- / <br />BUILDING SIZE: ::> D Xc>> , ~re Feet, .> Height <br />,.7 rr,.2 ~ L. <br />RESIDEIITIAL: ATrACB (2) PLOT PLAIIS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATrACII (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />~UILDING <br /> <br />$. Valuation of Total Construction <br />~ C) v AIIP Service V Florida Power Corp. <br />$. ..:2 8 o=> ~ Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_ELEcrRICAL <br /> <br />-'lECBAlJICAL <br /> <br />_PLUHBIRG <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br /> <br />TYPE OF COIISmucnOIl: <br /> <br /> <br />Other <br /> <br />PIRISF FWOR ELEVATI <br />51'(;vl~( Cjo ( <br /> <br />IS PROJECT IR FLOOD ZONE AREA? <br />pO:::>>7 Z,,..., L C <br />.......................................... <br /> <br />X <br />YES NO <br /> <br />COIITRACTOR SECTION <br />. '7?)V'i SG.-- ~ /"?~~v~ ~ <br />COHPANY (/*' <br />State Cert. or Regist. . ( G ~~~?'- <br />City License Registration' _ <br />...................... <br />. ~\':) S I Z J '"' <2. c-7 { ;;-;;;:: ~ <br />COMPANY l-----=> <.. 2../ ' <br />State Cert. or Regist. . q~ / '3 <br />City License Registration . .________ <br />................................. <br /> <br />PLlJHBER <br /> <br />~..L-S ?)V~~, ~'1 <br /> <br />COMPANY <br />State Cert.o~ Regist. . <br />City License Registration' /'3~ <br />.......................................... <br /> <br />MECHANICAL COMPANY ~ )-f ~~ 0, -r- A) L <br /> <br />-&4 r:t:I:rri. State Cert. or lle8ist. tC ~.;r5~ <br />Signature ~. AAA/I ~ ~ _City License Registration' <br />......~.................................. <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERKIT OFFICER. <br />