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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYImILLS <br />BUlLDIRG DEPARTMENT <br /> <br />./j <br />r~\ <br />?, <br />ON<fr/j~) Cj9/-73tL <br /> <br />/tfJ <br />L/~ <br /> <br /> <br />OWNER'S <br /> <br />LEGAL DESClUPTION: LOT(S) 'I P- BLOCK 7/I: SUBDIVISION eA-- ~.4 fr <br />PARCEL I.D.' 3-';;"b-~/- O/UJ -OCJOOO -O,gc) (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: X New Construction --..Addition ----.A.lteration ~pair _Install <br />_Sign ----1Iove ----Peaolish <br />PROPOSED USE: KSiDgle FaaUy ~/F _, of Units ~/B <br />_ec-ercial _lDdust. _Swia. Pool _Other' <br /> <br />--..Restaurant &: Bealth Departaent Approval <br />DESCllIPTIOB OF 1lOIlI<. ~ FA m/ Lf- hA--::-: <br />BUlLDIRG SIZE: X Square Feet, Beight <br /> <br />RESIDEIITIAL: ATlACII (2) PLOT PLANS &: (2) SETS OF BUlLDIRG PLANS &: (1) SET ENERGY FOBHS. <br />COMHERCIAL: ATlACII (3) SETS OF BUlLDIRG PLANS &: (1) SET ENERGY FOBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RT.RCTllICAL <br /> <br />PERKITS REQUESTED <br />$ ~aO tJ (!) Valuation of Total Construction <br />;)00 AIIP Service Florida Power Corp. <br />$ :3 300 Valuation of ltecbanica1 Installation <br /> <br />-" .' <br /> <br />--JUlLDIRG <br /> <br />N.R.E.C. <br /> <br />---llECIIAliICAL <br /> <br />---..PLUKBING GAS ::;JJ,\lcL ~ ROOFING <br />..J <br /> <br />SPECIALTr <br /> <br />TYPE OF CORSTRUcrI.ON: ~loclt _Fraae _Steel <br /> <br />Other <br /> <br />FIRISBED FLOOR ELEVATIORS: <br /> <br />Fr. <br /> <br />IS PROJECT I.R FLOOD ZONE AREAT <br /> <br />YES 'NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SEcrI.ON' <br /> <br />BUTTllRR <br /> <br /> <br />COIIPABY <br />~ /J -+ /I ~ State Cer or Regis ., c: c~ <br />Signature rrrt'.J-I?M LA-" / City License Registration , <br />~..... .................................., . <br /> <br />RT.RCTRICIAlI COMPANY -5+'$' FLee! R / r. <br />C\... , f, ~, " State Cert. or Regist. , , 6~< ;~'? <br />SionAture ~t')..j\J'fJJ ~ City License Registration' ~ <br />.......................................... <br /> <br />PLUKBER <br /> <br />~~.~/~k~ <br /> <br />COMPANY HPRmod +7?~AGK(?.e <br />State Cert. or Regist.' /0 ~ <br />City License Registration' )1 ' <br />.......................................... <br /> <br />Signature <br /> <br />IlECBAR1CAL <br />Sigoature ~ ~ <br /> <br />~JJ~ <br /> <br />COMPANY A..- P- r: Ale' CO r/;../J <br />State Cert. or Regist. , c.FlG CJ3t9. '4? <br />City License Registration' c;JCJ< ' <br />.......................................... <br /> <br />OTIIRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />