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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIlYRIIILLS <br />BUlLDIRG DEPARTKENT <br /> <br />OWliER'S ADD BESS <br /> <br /> <br />;5 <br /> <br />OWNER IS BAtIE <br /> <br />JOB ADDRESS <br /> <br />6: <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCIL--SUBDIVISION <br />PARCEL LD.' D.'1 -;:) ~ - d. ) - DI;}o - OcaJO-oO'lOCOBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: L4ew Construction ~ition ~teration ---.Jlepair _Install <br /> <br /> _Sign ----IIove ->>eaolish <br />PROPOSED USE: ~gle Faaily ---1f./F _' of Units ---1f./H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />BUlLDIRG SIZE: <br /> <br />---.Jlestaurant &: Health Departaent Approval <br /> <br />Ocve-eJr) -KnDV'Y) <br />L a/ _II <br />/ B. x(J , (}5/i Square Feet, 7lfl Height <br /> <br />DESCRIPTIOIi OF WORK: <br /> <br />USIDEJITIAL: <br />cotIHERCIAL : <br /> <br />A'nACII (2) PLOT PLARS &: (2) SETS OF BUlLDIRG PLANS &: (1) SET EliERGY FOBHS. <br />A'nACII (3) SETS OF BUlLDIRG PLANS &: (1) SET EIiERGY FOBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UlLDIliG <br /> <br />$ dqr}5~ <br /> <br />PERKI.TS REQUESTED <br /> <br />Valuation of Total Construction <br /> <br />RT.R.CTlUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IEalAllICAL <br /> <br />$ <br /> <br />Valuation of lIecbanical Installation <br /> <br />_PLUllBIliG <br /> <br />GAS <br /> <br />ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF COIiSmUC'fiOIi: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDIISJIEI) FLOOll ELEVATIOIIS: <br /> <br />FT. <br /> <br />IS PROJEct IIi FLOOD ZOO AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CORTRACTOR SECTION <br /> <br /> <br />7 <br /> <br />Rlffl.DER <br />Signatur;-1) <br /> <br /> <br />I <br />COMPANY V-- <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RT.R.CTRICIAIJ COMPANY <br />State Cert. or Regist. . <br />SianAture City License Registration . <br />.......................................... <br /> <br />PLUllBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />tlECBANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />nTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />.,' <br />APPLICATIOIiAPPROVED BY PERKI.T OFFICER. <br />