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<br />,,,.~..,..~, - <br /> <br />" ~ - ...,.-..."""I.'....-"YP",~.~..:'"I''<'-~...~,,1lIiJ1'I-'~'..'!I!'J1t'.,f,;'~ "', <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OIIIIBR' S __ 0. ) ,q. Y t:J. -e Bs I ~ <br />OWNER'S ADDUSS ~ I") 10..0 C '-'t ) /-eN S J I( 19 / ( <br /> <br />PHONE <br /> <br />JOB ADDRESS S f) h1 '€- <br /> <br />" <br /> <br />LEGAL DESCRIP'l'IOIi: LOT(S) <br /> <br />BLOCIL--SUBDIVISIOIi <~/ /V~? (] I.QK 5 <br /> <br />PARCEL I.D.'.3 02~ ~, OI(P~ 00000 <br /> <br />a?(i) 0 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ----Addition -Alteration <br /> <br />Repair _Install <br /> <br />_Sign <br /> <br />---lfove <br /> <br />~lish <br /> <br />PROPOSED ~E: _Single F_ily <br /> <br />.--.JI/F _' of Units .--.JI/H <br /> <br />_ec-ercial <br /> <br />_Indust. ...L..swia. Pool _Other <br /> <br />.---.Restaurant &: Health Departaent Approval <br />DESCRIP'l'IOIi OF WORK: C6N C III <0.(. ~ Po <:oJ A /'{ d ~ <-n 'E' ~ 1-0 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEI1TIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FOBHS. <br />ATTACH (3) SETS OF~~ING PLANS &: (1) SET ENERGY FOBHS. <br />PROPERTY SUllVEY REQUIRED. FOR ALL MEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />.-BUILDING <br /> <br />~ <br />$ 1'1000 <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTIlICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-lIEClWlICAL <br />---..PL1IIBDG <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOPllIG <br /> <br />SPECIALTY <br /> <br />TYPE QF OORSTRucnOIi: .-.Block _Fraae _Steel <br /> <br />Other <br /> <br />FDIISIIED PLOOJl ELEVAnOliS: <br /> <br />n. <br /> <br />IS PROJEC'I' IIi FLOOD ZOO AllEA T <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />:~..:~Q~ <br /> <br />CONTRACTOR SECTION <br /> <br />cotIPAIIY ;/urr,;' l6~N Poch .;;~ ~ <br />State Cert. or Regist.' Ctx....o..( 5'~"'<,{~ <br />City License Registration' 30 <br />****************************************** <br /> <br />_ COMPANY L7e..L-..../~ 'Jdz? A,J4 J'(' / c (~"- dk- i <br />~ /l /J State Cert. or Regist.' 7 G. 3 <br />J. h 4<<f4// City License Registration , <br />-. ...................................... <br /> <br />Siguature <br /> <br /> <br />RIITT.DER <br /> <br />Sigoature <br /> <br />cotIPARY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />. PLlllBER. <br /> <br />~CAL ~ ~ARY <br />~ I State Cert. or Regist. , <br />Sigoature _______ City License Registration f <br />v ************************************* <br /> <br />R~ <br /> <br />O'I'RRR COHPANY <br />State Cert. or Regist. . <br />Sigoature City License Registration . <br />****************************************** <br /> <br />APPLICATIOIi APPROVED BY PERKIT OFFICER. <br />