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<br />'" <br />"- <br />" <br />OWNER'S HAKE I<AY tJ)11~(je ~1A/L/)eRS PHONE 99/-1$66 " <br />OWNER'S ADDRESS /966/ Afj'AGe ~ _ IJc/wrls ',. " <br />JOB ADDRESS ;:J-A .J.NtAR~L IA/~od ~..(J/(/'e. b y 61 ~- ~~uu.L~-=-/ <br />LEGAL DESClUPT:lON: LOT(S) c2-/J BLOCK SUBDIVISION 5/Lcle,e, O/JJ(s <br />PARCEL I.D.t 03- dt..-;;)/- O/QC)-oaxJ() - 0500 (O.QTAIN ~OM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ---..Addition ----..Alteration -itepair _Install <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPARTHEHT <br /> <br />'~'~,O:S9.-~8.!;.'Z(F ' <br /> <br /> <br />, ().,,,.,, <br />~~:'!;..:,... <br /> <br />_Sign <br /> <br />----1love <br /> <br />-1)eaolish <br /> <br />PROPOSED USE: )( Single Faaily <br /> <br />---.Jf./F _' of Units ---.Jf./B <br /> <br />_Co.aercial <br /> <br />_Indust. _Swia. Pool ,_Other <br /> <br />--.-.Restaurant It Health Departaent Approval <br />. DESCRIPTION OF WORK: SJII8Le F -4 /YJ/ ~ I! p ~ <br />/ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATlACII (2) PLOT PLANS It (2) SETS OF BUILDING PLANS It (1) SET ENERGY FOlUlS. <br />COMMERCIAL: ATlACII (3) SETS OF BUILDING PLANS It (1) SET ENERGY FOlUlS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RJ.F.CTlUCAL <br /> <br />PERMITS REOUESTED <br />$ 50,000 Valuation of Total Construction <br />" <br /> <br />15' d AIIP Service X F10rida Power Corp. <br />$ :2? () 0 Valuation of Mechanical Installation <br /> <br />01,' <br /> <br />---.J)UILDDlG <br /> <br />W.R.E.C. <br /> <br />-----1fEClWUCAL <br /> <br />--PLUKBDG <br /> <br />GAS <br /> <br />x <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: X Block _Fraae _Steel, <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONB AREA? <br /> <br />YES NO <br /> <br />.................................*.*.***** <br /> <br />Signature <br /> <br />RU <br /> <br />CONTRACTOR SECTION" <br /> <br />... . .' I' <br /> <br />mtlPAHY BAv chllA9'~ ~Lf!~ <br />~ State Cert~ or !legist. . 6 , 'i? eJ <br />0.. City License Registration' ~ I,. -3 <br />. ................................***... <br /> <br />, COMPANY 0 5' ~~"'" ", <br />~ State Cert. or Regist.' Gi"/t- ~ 2 0 ~.$- <br />~ . City License Registration', ~- ~?tJ7J <br />****.*.**********.*************.*****.**** ' . <br /> <br />~' <br /> <br />Burl.DER <br /> <br />RJ.~CTRICIAli <br />SiImAture~~;Y (l <br /> <br />~" <br /> <br />PLmm~ COMPANY ~ <br />2./ / . State Cert. or Regist. <br />Sigoature~d~ Ci.ty License Registration , <br />.*.****..***************.****.************ <br />r <br />HECllAHICAL at;. ~ COMPANY /lR_ G A/}(J GO/t/.o <br />",' '.'/J State Cert. or Regist. # c,l'lC 6::?.::l..a'J <br />Signature "4,,,,,. C /J/~ Gc/ll./) City License Registration' dQ6/ ::1- 9. ~ <br />'.****...*.*..*.....***.****...**.********. <br /> <br /> <br />~ <br /> <br />~, <br /> <br />~ COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />..*.********.******************.********** <br /> <br />APPLICAnON APPROVED BY PERKIT OFfiCER. <br />