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<br />APPLICATION POR PERKIT <br />. CITY OP ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />. . c tIitR <-f-. S <br />5(, .).- ~:::L <br />~1H'1~ <br /> <br />() Zo CK <br />r<..fkAJ j) 4 <br /> <br />PHONE <br /> <br />78~ <br /> <br />VA ~~ . <br /> <br />OWNER' S ADD~S <br /> <br />CK( <br /> <br />JOB ADDUSS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOClL.-SUBDIVISION <br />~& ~(_ _~ 064D' <br />PARCEL LD.' I~ ~ ~ D<..//O OOOo() tOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ---...Addition --.-.A1teration --.Jlepair ~Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F_i1y <br /> <br />--It/F _' of Units -.JI/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant air Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: 7u IIJS~ ~ ~ CttrJ,z.. <br /> <br /><?yr)- <br /> <br />tu F/ff;> <br /> <br />S~j) <br /> <br />BUILDING SIZE: <br /> <br />cr; X /0 , <br /> <br />90 Square Feet, <br /> <br />I <br /><3 Height <br /> <br />RESIDEHTIAL: AttACH (2) PLOT PLANS air (2) SEtS OF BUILDING PLANS air (1) SET ENERGY FORMS. <br />COMKERCIAL: ATTACH (3) SETS OF BUILDIMG PLANS Ie (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />" PERMITS REQUESTED <br /> <br />1(;).. ,.- Cf Valuation of Total Construction <br /> <br />$ <br /> <br />_BUILDING <br /> <br />____ELECTRI.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECIIAIflCAL <br /> <br />$ <br /> <br />Valuation of Kecbanica1 Installation <br /> <br />~UKBING <br /> <br />GAS <br /> <br />RooPING <br /> <br />SPECIALTY <br /> <br />TYPE OP CORSTRUCTlON: _Block _Pr_e _Steel <br /> <br />Other <br /> <br />FlRISBBD FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />IlIJTI.Dm <br /> <br />CONTRACTOR SECTI.ON <br />. ---:..-_:~;~=::--::> -S'UtJS'Tlh-lt..- /k-u/Y /AJu'i We- <br />;.------- ) ..,-.".,..--.:..:/ '/ alKPANY <br />/-//~~ -. -- State Cert. or Regist. . <br />City License Registration' '71 <br />t.......................... <br /> <br />Signa <br /> <br />ILG2 COMPANY <br />State Cert. or Regist. t <br />&.wm City License Registration . <br />~.......................... <br /> <br />~ COMPANY <br />State Cert. or Regist. . <br />Sigm City License Registration' <br />.......................................... <br /> <br />KECBABICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRF.R COKPANY <br />State Cert. or Reaist. . <br />Signature -.-' City License Registration f <br />.......................................... <br /> <br />APPLICATION APPROVED B1 PERKIT OPFICER. <br /> <br />. <br />