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<br />APPLICATION FOR PERK1T <br />CITY OF ZEPBnUIILLS <br />BUlLDIRG DEPARTHERT <br /> <br />, - J17 <br />./ U!::J . <br />~J/ -, <br /> <br />BON~~d crt/-7gb{ <br /> <br />OWNER'S <br /> <br /> <br />LEGAL DESCRIP'lION: LOT(S) '/ I) <br />~---db -;) I -, CI 60 - <br /> <br />..3 1t2 ~ <br />B~SUBDIVISION N~?A oJ1l:s- <br />OC:X:JCX:)--Qf)7() (OBTAIN FROM PROPERTY T~ NOTICE) <br /> <br />JOB ADDRESS <br /> <br />PARCEL I.D.I <br />WORK PROPOSED:~ew Construction --..Addition ---...Alteration <br /> <br />Repair ~Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: X SiDgle Faaily <br /> <br />-.JIove <br /> <br />---.Peaolish <br /> <br />---.Jt/F _, of ,Units ---.Jt/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other' <br /> <br />----Restaurant &: Bealth Departaent Approval <br />DESClIIPl'IOII OF 1ilIllK. 4- ~,,~it m <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDEIITIAL: ATl'ACII (2) PLOT PLANS &: (2) SETS OF BUlLDIRG PLANS &: (1) SET ENERGr FOlDlS. <br />COHKERCIAL: ATl'ACII (3) SETS OF BUlLDIRG PLANS It (1) SET ENERGY FOBKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RT.RcnuCAL <br /> <br />PERK1TS REQUESTED <br />$. ')t! O{)n Valuation of Total Construction <br />c200 AHP Service x: Florida Power Corp. <br /> <br />of.-' . <br /> <br />---BU1LDIRG <br /> <br />N.R.E.C. <br /> <br />----lIECllARICAL <br /> <br />$.~3'OO <br /> <br />Valuation of lIechanica1 Installation <br /> <br />~~~ ~ ~~~~n~ <br />TYPE OF coRsmucnoN: block _Fr_e _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnORS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA., <br /> <br />.......................................... <br /> <br />YES 'NO <br /> <br />CONTRACTOR SECTION' <br /> <br />RMlJ)ER COKPABY ~~ q;;~ g~ ' <br />LJ ~J /7 -+- Q/i i/~ State Cert. or Regist. I r ~~~.-J <br />Si8lUlture tS;QJ:J.i'~ _ l'{}. -,' City License Registration I _~_ <br />~.... ................................... <br /> <br />RT.RCTRICIAI{ COKPARY S-f:5 E~ecTRJc <br />11\, < l.p , State Cert. or Regist. I ~~9 <br />SiImAture~C~ .JJ..Lt1fl-b-- City License Registration 'I <br />.......................................... <br /> <br />PL~ER <br /> <br />COMPANY H.&JR/YJoN' ~~.h. fJ.J.V1f'l1I3/rJy <br />91; fL ~ ~k~ State Cert. or Regist. I r --;;~ -=~ 1:( 'J. /66:>' <br />j ~ . City License Registration' . <br />.......................................... <br /> <br />Si8lUlture <br /> <br />IlECllANICAL . <br />signature aev' W~~ <br /> <br />cotIPARY 4~R c /f'/R, C:f'AI'o <br />State Ceri. or Regist. . Co co3().qq') <br />City License Registration, ;;;J. Cj ~ <br />.......................................... <br /> <br />OTRRR COKPARY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PJW[[T OFnCER. <br />