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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRBILI.S <br />BUILDING DEPARTHENT <br /> <br />.' <br /> <br /> <br />1rvj(t g~I'1-'j'( <br /> <br />OWNER'S <br /> <br />c'u tia.er ~N~Ttc.e:r; en INC.. <br />53 <br /> <br /> <br />~ 5')..1- b 7 () ~ <br />b~lto,.i '1 fI"3 - J" Y '3 <br />C^,Tk.e~ <br />\ . <br /> <br />OWER'S ADDRESS <br /> <br />JQB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />K c:,~eST f:; -\ed-e 5 <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-Hew Construction --.....Addition ---..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F_ily <br /> <br />--.J{/F _' of Units _K/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---..Restaurant & Bealth Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: ~ 1hfo Square Feet.lB Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />(, fJ,IOO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />--"ECBAIIICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBIRG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF mIlSTRUCl'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlBISBED FLOOR ELEVAnOIlS: <br /> <br />F'1' . <br /> <br />IS PROJEct IR FLOOD ZONE AREA? <br /> <br />YRc; NO <br /> <br />1lIlIf.Uu;Ipun:l!lllUd ~ lUlU JIIIIIUO& .~~r1~"'11 <br />"""LY 'l~ .DIIm"",- 'cr.nn~ -t;,p,~.. *..~ <br />~J ~--,~ '~aQ1UA~ ~~. .~~ <br />S(6€i133 * NOISSJWWro M'l ~:( }:~ <br />NOSNVH 'f A.LI.3:8 '-~h; A~,''$I <br />~"'""\'\ <br /> <br />~ 3ftI'd ~ IUU pliIpIIDg ~,,\~r~~",,~ <br />Sfi61 'IlSClOPO :smndXH lJ!'~'"" f~t:\ <br />s(6€i133 * NOISSIWWro M'l ~:~ .=:i <br />NOSNVH'f A.LI.3:H \~,;; A:;.~l <br />;""...",'\ <br /> <br />JI'I&nd AHYJ.ON <br />(padmelS ~O palUJ~d 'pa~ ameN) <br />(lIc?~ :J:' I-. L/3<;L <br />~ (a~nlt!u6JS) <br />/Vr;}"~6 W~qleO 1R! a](el <br />lOU PIP/PIP oqM pue uOJle~JJJluaPJ se <br />0- OS;1--C)ft-CP;J-E?) I ~ -P='7J n eN.. 7:::t pa:mpo.:rd <br />seq OqM .:ro am Ol UMO~ ~IIeuos.:rad sI OqM <br />-L ~bL3B '::::1 -H::)1 7J- ...I-:41<:f- <br /> <br />JJ." tlOd AHYJ.ON <br />(padun!lS ~o paluJ~d 'pacUJ. aaR) <br />IV OStv-Ufl ' -A h_L1218:. <br />r-- ~ ~~- ~~~ (a.ml-IS) <br /> <br />~ 'qleo ue a](t!l <br />lOU PIP/PJP oq. pue uOJle~JJJluaPJ se <br />a-~-r7J/1-o/!:f1-rqrt7 ~ tKi..7:::I pa~npo.:rd <br />seq OqM .:ro am Ol UMO~ neuos.:rad SI OqM <br />..L. -~ 'i7 . d ff ;/1 jL1..4IQ <br />