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<br />_._~.......-- ----.--.,..-- -~. <br /> <br />- ----....--,.--,..-~--.-.- ---~~~:.,j,Jo;~., 'l.~i'~.'---'--'-" <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S IWIE ~~~ E ~\~~ <br />OWNER'S ADDUSS ~~~~~ ~~~ ~u..S <br />'?:f69iC?J ~ ~ ~ <br />LEGAL DESCRIPl10N:: I.DT(S )_\ 2. - \3 BLOCK \1.\ \,. SUBDIVISION f!'" ~.. "'! .,.., . i' '.^.. ." <br />. r,~ ' .. ~:\. \ <br /> <br />PARCEL l.D.' \\ -2-~~\" OO~o- O'&.\~OO-- rl.o (OBTAIN FROMPRgPERTY TAX NOTICE) <br />liORK PROPOSED:-"ew Construction .---.Addition --Alterat~on ~~ir'.I' ~~tall <br />, , '. ~... ' l~ . I ' "- ~ . . 1', <br /> <br />:'.V ., <br /> <br />, <br />! ~ l ....~, 'I <br />, PHONdl,-13~-5~C3 <br /> <br />;it <br /> <br />JOB ADDRESS <br /> <br />.' <br /> <br />". ',!.". <br /> <br />. , ",' <br /> <br />'.' J \/'.' .. <br /> <br />--..-Sign <br /> <br />--Ilove <br /> <br />---Peaolish <br /> <br />"l :,' ~ ", ': ,. <br /> <br />. t.. <br /> <br />PROPOSED USE: _Single Fsaily <br /> <br />---l-tl F <br /> <br />_' of Units <br />...1t:Swia. Pool <br /> <br />__J;tfH ...~" <br /> <br />:t <br /> <br />_ec-ercia1 <br /> <br />_Indust. <br /> <br />'1' 1'. <br />_Other" , <br />" ".' ." ,~ <br /> <br />. ,.. <br /> <br />. ---..Restaurant &: Health Departaent Approval <br />. , I ... <br />DESClUPTION OF. WOlUt:_l\~\\ ~ ~~) l.\ 'I-.. 2.., ~lJ..).MM\~ Qc:b\..- . <br /> <br />\ ~, !; <br /> <br />,. <br /> <br />Height <br /> <br />, I ..;., ,,- "~-J <br /> <br />BUILDING SIZE: ' <br /> <br />x <br />, , <br /> <br />Square Feet. <br /> <br />~",ji:;~ ;;I~l. ~,. tl~:;: ~t <br /> <br />RESIDEITIAL: ' ArlACII.(2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) ~~T)ut~GY.~,Pp.J.UIS., <br />OOtIHERCIAL: ArlACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS'" .. ':' , <br />PRClPERTYSURVEY REQUIRED FOR ALL NEW CONSTRUCTION. . . " . . <br /> <br />I t ~ . <br /> <br />RT.RC'J'lUCAL <br /> <br />AIIP Service <br /> <br />PERMI.TS REOUESTED <br />Valuation of Total Construction <br />r ,." <br /> <br />~ Florida Power Corp. .... <br /> <br />~!~ <br /> <br />---.J)UlLD~G <br /> <br />$. <br /> <br />;'1i Ij' <br /> <br />, ," \ <br />. .., W.R.E.C. <br />, 'I,' <br /> <br />--.-JIEClWlICAL <br />---..PLUMBING <br /> <br />$. <br /> <br />Va1uation of Kecbanica1 Installatio~. I: <br /> <br />I. <br /> <br />SPECIALTY <br /> <br />'4t',' <br /> <br />GAS <br /> <br />ROOFING <br /> <br />.1 <br /> <br />nllISBED FLOOR ELBVAnOIllS: <br /> <br />Fl. <br /> <br />-"u.e _Steel O~er ' . . '. . <br /> <br />, I'~~H !;'i!'1 :.~ '.r, I <br />IS PROJECT IR FLOOD ZO"E AREA' . '. ,,_' <br />...YES. .:10 <br />" \ ,.; ,( : 'l,;, ," :... <br /> <br />rIPE ~F:. OOBSTB:UCTION: -...Bloclt <br /> <br />.,'1: <br /> <br />.......................................~.. <br />, . <br /> <br />. t ! .~ ~,~ t:_~ ~ -.; "1) , .. <br /> <br />, 'i~' <br /> <br />f';~; "1, ~t ~ "l~ {1 :, <br /> <br />,I . <br /> <br />CONTRACTOR SECTION <br /> <br />It.mtJltnl <br /> <br />cotIPAIIY <br />State Cert. or Regist. .. <br />City License Registration f <br />.......................................... <br /> <br />iiaoature <br /> <br />o .RCTRICIAIlI <br /> <br />,':> l~ ; t <br /> <br />;i -.nAt.ure <br /> <br />COHPANY <br />State Cert. or Regist. . <br />Cit.y Liceose Registration . <br />.......................................... <br /> <br />'" .... <br /> <br />~LIJMBER <br /> <br />COKPARY <br />State Cert. or Beaist. . <br />City License Beaistration .f., <br />.......................................... <br /> <br />~ . <br /> <br />;ignature <br /> <br />II '....,.. ii'. <br /> <br />IECllAllICAL <br /> <br />COMPANY <br />State Cert. or Begist. . <br />City License Beaistrationf <br />.......................................... . <br /> <br />aaoature <br /> <br />'. '_t <br /> <br />. ~ r,' s i OJ t: . n,', <br /> <br />lDIIIl COMPANY <br />State Cert. or Beaist. . <br />U8Dature City License Reaistration .. <br />.......................................... <br /> <br />~PLICATION APPBoVED BY PDHIT OFFICER. <br />