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<br />... <br /> <br />APPLICAnOR FOR PERKIT <br />CITY OF ZEPRYRBILLS <br />BUILDING DEPAR'l'HERT <br /> <br />1?-F' f/1btJ ~ S-- <br />/J- ~9 c; <br /> <br />.,;, <br /> <br />OWNER'S RAKE S~~~,y ~(q 73Ld r~ PHOn 1~ ~-;;'1J3 <br />OWRER.' S ADDRESS 50'-15 S' c:;.. k4 .... <- tJ.t( Dr Z 1./. {(s 3-?1\jo <br />JOB ADDRESS 5/ CY5' .'. S v "'" 111.<...- UtM f)v 2 i-J, Ii j '3 -35' I.{.CJ <br /> <br />LEGAL DBSCRIP'lIOR: LOT(S,> I ~ <br />L/ LJ - i.J <br />PARCEL I.D.' 11- -Zb-- 2/ //(~ <br />. <br /> <br />BI.OCll.--..SUBDIVISION S2-...~,!y I,J..11 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PRoPOSED:Lew Construction -..Addition -...Alteration __epair <br /> <br />Tn_tall <br /> <br />~ign <br /> <br />--.JIove <br /> <br />---Peaolish . .- <br /> <br />PROPOSED ~E: -LsiDale F_i17 <br />_eo-ercial <br /> <br />---.JI/F _, of Units ---.JI/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />Restaurant Ii: Health Departaent Approval <br />I-lo Me <br /> <br />NEw <br /> <br />DESCRIPTIOR OF WORK: <br /> <br />BUILDIRG SIZE: Jfo X c:, 0 .~quare Feet, ')..0' Height <br /> <br />RESIDERTIAL: ATTACII (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUcnOH. <br /> <br />PERKITS REOUESTED <br /> <br />-2:..BUILDDiG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />')( RT .~cr:uCAL <br />--L.JmawnCAL <br />..A...aUHBIRG <br /> <br />$ <br /> <br />AtIP Service <br />tli <br />J3oo. <br /> <br />>( <br /> <br />Florida Power Corp. <br /> <br />M.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />)( <br /> <br />ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF COIlSmUC'rIOR: :{ Block -Fraae _Steel Other <br /> <br />FIlIISBED FLOOR ELEVAnOBS: 101 PT. IS PROJEcr IR FLOOD ZONE AREA' ..2( <br />YES NO <br /> <br />.......................................... <br /> <br />Signa <br /> <br /> <br />CORTRAcrOR SECTION' <br /> <br />; (I- COMPANY ~A-c: .. . <<r""S :>Tr~~h~ <br />'/"1 u-. -- State Cert. or Regist. 1 ~'6C t:>~b ~ <br />.. City License Registration 1 t;-O/ <br />.......................................... <br /> <br />RT.RCTlUCIAII <br /> <br />s._~ Cf <br /> <br />PLUKB~ <br /> <br />& . COHPARY ~~~fl-lI1r7() ~~e..c ~~/L <br />l\-. '\ State Cert. or Regist. 1 ER f'lDAi) 3.., } <br />o f'I)A ( 2.", ) City License Registration.' 'L '" ~ <br />.....................................7..... . <br /> <br />COHPA1fY.lf-,tr- rv(f)rJ _ [tUH ler <br /> <br />/~~ . SI.J State Cert. or Regist. 1 R F o03~G,.IC <br />~ ~,J City License Registration 1 J55 <br />.......................................... <br /> <br />Signature <br /> <br />IlEClWlICAL <br /> <br />-' <br /> <br /> <br />. COHPA1fY_"23)}o I P ~IJL f) a~ ~ ;1-1 C <br />State C~gist. 1 c.1vt LO~I D( (p <br />City License Registration f 1 I \ <br />.......................................... <br /> <br />CO!tPMfy Prt ~ (~/ l<(>Q ftc,..-~ <br />// State Cert. or Regist. 1 C- f){)"/ btflJ <br />City License Registration . S~ <br />................................... <br /> <br /> <br />OTRRR ' <br /> <br />Signature <br /> <br />APPLICAnOR APPROVED BY <br /> <br />PERKIT OFFICER. <br />