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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYlUIILLS <br />BUILDING DEPARTHENT <br /> <br />yo . tfD <br /> <br />( PAl-\LJ"'~ <br />\~~T 3> ) <br />97/-?3b6 <br /> <br />OIiJIER'S RAIlE ~t/ ~~ /L~ <br />OWNER'S ADDRESS /9~5/ ~ .8 LlLN~ <br />~ [i-/ a- . J LJ-d <br />JOB ADDRESS LoT 35' UrAA.rI. rClUJ <br />LEGAL DESCRIP'l'ION: LOT(S) .1>S BLOCK <br /> <br />PHONE <br /> <br />SUBDIVlSIO~ nA~ <br /> <br />PARCEL I.D.' 03-OJ~-~/-O/60-0000o~ CJ3'5C> (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:hew Construction ----!tddition --..Alteration ~epair _Install <br /> <br />_Sign <br /> <br />-"ove <br /> <br />---Peaolish <br /> <br />PROPOSED USE: X S~e F_ily <br /> <br />-"IF _' of Units ---.JI/H <br /> <br />_~ercial <br /> <br />. <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ~/,.)8L~ 1=AI'I1ILy Reo< <br />BUILDING SIZE: X ,::2 35..:;).... Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RI.RCTlUCAL <br /> <br />PERMITS REOUESTED <br />$ to... 000 Valuation of Total Construction <br />/50 AlIP Service X Florida Power Corp. <br /> <br />" ' <br /> <br />~UILDING <br /> <br />W.R.E.C. <br /> <br />--1IECIIAlU.CAL <br /> <br />$ 350 () <br /> <br />--.J'LUKBING <br /> <br />GAS <br /> <br />Valuation of lIechanical Installation <br />5/.",vJLe ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: block _Fr_e _Steel <br /> <br />Other <br /> <br />v <br />FIlUSBED FLOOR ELEVATIOBS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREAY <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BUITllER <br /> <br />CONTRACTOR SECTION' <br /> <br />COIIPAIIY~ 'Z.,i41~ a~ <br />State eer or Regis. , rc.c ~:f~ <br />City License Registration , <br />...................................... <br /> <br /> <br />Signature <br /> <br />COMPANY 4"'? 5" ~./--/'~ ~../_ <br />State eeit. or Regist.' Ed'2... ~ 2 d cr .5 - <br />City License Registration', 2- O/~- <br />......................................... <br /> <br />Signature <br /> <br />/ A.) dJ <br /> <br />COMPANY #l1r/11.DN + T'^Jt-ct'l9~ <br />Jl~ State Cert. or Regist. , 4t /JQ r;; t/J /1 <br />, e---1 City License Registration' //0 ij <br />.......................................... " <br /> <br />PLmm~ <br /> <br />ItECllANIGAL < <br />Sigoature o.fJL <br /> <br />~~...J <br /> <br />COMPANY A. ((. C All!. ~ <br />State Cert. or Regist. , ~ 6l 'fi/ r; <br />City License Registration f ./s / . <br />.......................................... <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPBOVED BY <br /> <br />PERHIT OFFICER. <br />