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<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHE r,.T. STF.VF. r.ONSTRTTr.TTON <br /> <br />PHONE (~1~) 7~?-Q/.!,? <br /> <br />OWNER'S ADDRESS 'J, 77 an ~T.A nF~ TN <br /> <br />JOB ADDRESS <br /> <br />na 'J, 1 HTTN1'TN~1'nN nR <br /> <br />LEGAL DESClUPlION: LOT(S) <br /> <br />~n <br /> <br />BI.OCIL.--SUBDIVISION ~UYiR O^ K~ <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL I.D.t 3-2n-7.1-00'J,0-00000-Rn <br /> <br />NORK PROPOSED:--L..New Construction _Addition --...Alteration -..:Repair _Install <br /> <br />_Sign <br /> <br />--1k>ve <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~Single Faaily <br /> <br />----KIF _' of Units ----"'/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-..:Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />CONSTRgCTION OF PrEll REE:IBEtTCE <br />Ii (""' 'Cl1/ <br />, c:I 'r'~~ Square Feet, / Height <br /> <br />BUILDING SIZE: X <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PI..ANS & (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ 1H,a25.09 <br /> <br />Valuation of Total. Construction <br /> <br />X RI.RCTlUCAL <br /> <br />7.00 <br /> <br />AMP Service <br /> <br />y Florida Power Corp. <br /> <br />N.R.E.C. <br /> <br />.LJtBCIIAlIICAL <br /> <br />$ ~J.(1).crv <br /> <br />Valuation of llechanical Installation <br /> <br />-x--PLUHBIliG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIfSTRUCTION: -*-Bloclt _Fraae _Steel Other <br />FIllISBED FLOOR ELEVAnONS: qg. /P FT. IS PROJECT IIi FLOOD ZONE AREAT <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />.DlLll~ COIIPAIIJ' C.l. .T~& QGN!>TIlOOl'IOIJ <br />... . _ ..,., State Cert. or Regist.' CB 0022lJ9 <br />Signat ..-/ City License Registration , 181 <br />~ , ..............................l~.......~ ~ <br /> <br />~ -' 1~'flS:e.v l:</e-e-~''=::. <br />:=~ . - <(), JVt W - COIIPAIIJ' ,zEPIIYRl/ ELilCmC Sm.~_ <br />~ - ~ State Cert. or Regist. , nnr)'}1t:o <br />~ " /~-- . '0> City License Registration' 1 f'\ --- L.. E <br />........*.........*......*...**........... ~ l{/ <br /> <br />PLIIIBER. <br /> <br />COMPANY r.RRT~ BARR PTTThmTNr- <br />flit . ~~~c&.-t. State Cert. or Regist.' "Eonl."I." <br />\./ /1,,62-' r:--:-x '''^lCity License Registration' <:;7 <br />.*.. ...*.........**....*....*........*... <br /> <br />Signature <br /> <br />KECBANICAL <br /> <br />Signature ~ ~ 6/_ <br />1/ <br /> <br />COMPANY 13AT{D'~ l'Ror^NJ! C"^.a K !./c <br />State Cert. or Regist. , C^CO~39~g <br />City License Registration f 7,.f <br />***.***************************.**.*.**... <br /> <br />OTRRR COMPANY C ^.YIN R99YINC <br />, ~ . _ h State Cert. or Regist. , <br />Signature'-r c. J-." ~~. . City License Registration' JO <br />) **.******..**.**.**..**.*.*...*.*.......** <br /> <br />APPLICAUOB APPIlOYBD BY 1J <fJJJ. Q )1 ~ PBIlIIlT OFFICEll. <br /> <br />, <br />