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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPRYRBIu.5 <br />BUILDING DEPARTMERT <br /> <br />OliIlER'S lWlI\c-St (Jas~d (Ju:J /;c aU ~LIJB giJ 1J?:)-.;if,{.d <br />OWlIER'S ADDRESS J;.-4) ~ ~ //~-/~~r <br />JOB ADDRESS c:::7A2Jloc2 ~ c;4L/~ '-- <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />BLOClL--.SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />pte rat ion __epair _Install <br /> <br />.. <br />_Deaolish <br /> <br />WORK PROPOSED:-'iew Construction -^ddition <br /> <br />PROPOSED USE: _S~eF_i~ <br /> <br />b/F 1-. of Units ----3t/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />__estaurant & Health Departaent Approval <br /> <br />DESCRIPnOR OF WORK: IlM~~ /~ ,/~E - <br /> <br />BUILDIRG SIZE: X , /,,fO() Sq~re Feet,~Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLARS Ii (2) SETS OF BUILDING PLANS & (1) SET ERERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />--BUILDING <br /> <br />$ ~ / O/JtJ, CJ() <br />/ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida. Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.-KECllARICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBIRG GAS ROOFING <br />TYPE QF CORSTRUcnOR: ~loclt -LF~ _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FI1IISBED FLOOR. ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJECl IN FLOOD ZOO AREA! <br /> <br />)t <br />YES NO <br /> <br />.......................................... <br /> <br />CORTRAClOR SECTION <br /> <br />RMIDRR <br /> <br /> <br />cotIPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Sisoature <br /> <br />COMPANY -z..-l.\. c(""L") G., ~~ c'"t - S ~flJ "- <br />State Cert. or Regist. . Oc,,\('\ ~t.(6.r <br />City License Registration' {O <br />.......................................... <br /> <br />PLDMRRR. COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />KECIWlICAI. COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATIOR APPROVED BY PERKIT OFFICER. <br />