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<br />APPLICATION FOR PERKIT <br />CITY OF ZBPllYRllILLS <br />BUILDIHG DBPAImlBNT <br /> <br />OWNER' S NAHK <br /> <br />OaAJ <br />6f:2-7 <br />5~b <br /> <br />cKtAJ6 ~ y <br />I' rt- sV- <br /> <br />PHONE <br /> <br />~~ <br /> <br />~ <br /> <br />OWRBR' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DBSCRIP'l'10N: LOT(S) BI.OCL-..SUBDIVISION <br />PARCEL I.D.' 1/:2 Cp t2-1 ~ 7--<>/ ""~0tJ 06 ~~B'1'AIll FROM PROPERTY TAX HOTtCl) <br />WORK PROPOSe :_New CoDstruction ----Addition ---.;UteratioD. --.,Jtepair /Install <br /> <br />--5ign <br /> <br />-...Hove <br /> <br />~.li8h <br /> <br />PROPOse USE: _Single Faaily <br /> <br />----1t/F _' of Unit8 ......-.Jt/B <br /> <br />_ec-ercial <br /> <br />_Iadust. _Swia. Pool _Other <br /> <br />-Restaurant & Bea1th Departllent Approval <br />DESCRIP1'IONOF WORlt: '78 ~Y77f<<- /OYI'f, fJu I9lB <br /> <br />~ <br /> <br />BUILDIHG SIZE: I ().x 10 . <br /> <br />I~ 1 square Feet. <br /> <br />Height <br /> <br />RB5IDBI1T1:AL: ATTACH (2) PLOT PLANS & (2) SETS OF BU1LDI&GPLAlfS & (1) SIT ENERGY FORMs. <br />COIOlBRClAL: ATTACH (3) SETS OF BUlLDING PWS , (1) SIT INBRer POIUIS. <br />PROPERTY SURVEY REQUIRBD FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDIRG <br /> <br />$ <br /> <br />(COD ~ <br /> <br />PERMITS REQUESTED <br /> <br />Valuation of Total Construction <br /> <br />RI.RC1'R1CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.B.C. <br /> <br />--llEClWlIClL <br /> <br />$ <br /> <br />Valuation of Hechanical I.nstallation <br /> <br />---...PLUKBIRG <br /> <br />GAS <br /> <br />ROOnNG <br /> <br />SPECIALTY <br /> <br />TYPE OF mas'l'llucnOll: ~loelt _Praae _Steel <br /> <br />Other <br /> <br />FlJlISBED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECt I.& PLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BMLDER <br /> <br /> <br />aJIIPAIIY <br />State Cert. or Reaist. . <br />. City License Aegi8trat-ion . <br />.......................................... <br /> <br />CONTllAC'l'OR SECTION <br /> <br />S-cW~ <br /> <br />Iftrftf tV 07( ~ <br />7fP <br /> <br />Si...ture <br /> <br />Itl1U!'I'RYI'!U,U <br />I <br /> <br />COMPANY . <br />State Cert. or Reaiat. . <br />City License Registration . <br />............................................ <br /> <br />,.., .. <br /> <br />Sii.mature <br /> <br />PUDm"RR. COKPAItt <br />State Cert. or Reaist.' <br />Signature City L.icense baistration . <br />........................................... <br /> <br />dt8MtCA.LCOMPANY <br />StateCert. or Regist. . <br />Signature City License Registration f <br />.......................................... <br /> <br />MIIRR C()Kl)AHY <br />State Cert. or Regist. . <br />Si...tttte City License Registtation . <br />.......................................... <br /> <br />APPLIcATION. APPROVED BY PEMt1' OFFlCBtt. <br /> <br />.. <br />