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<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE A) /rP A j ()12 /J m.J !1() r khf} R D-t PBONE 7 ~ 5S' - 705 / <br />OWNER'S ADDRESS 3~ndl b- A\fP_ 7-\r)\\\~) '1="1 ;:)~:=~l.lO <br />JOB ADDRESS '?-om e _ <br />LEGAL DESCRIPI'ION: LOT(S) 9/ BI..OCIL--SUBDIVISION <br />PARCEL I.D.' /4- :;U.P-~ J ~CJ:::>/() - 0/900 -CC> 9/ (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ---.Addition --Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: v5"'ingle Faaily <br /> <br />--.J4/F _, of Units _K/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant &: Bealth Departaent Approval <br /> <br />Rf?'- rCXJP <br /> <br />BUlLDIRG SIZE: 3:;) X 4a. I ~~O Square Feet, <br /> <br />Beight <br /> <br />RESIDEIITIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLARS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLARS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERK1TS REOUESTED <br /> <br />~UlLDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'flU.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />N.R.E.C. <br /> <br />-'lECllAlilCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />PDI5BED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIITT.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY L-Lbn)'J COS~, , <br />State Cert. or Regist. , <br />City License Registration , 10/7- :.( <br />................................... <br /> <br />Signature <br /> <br />IU.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SignAture <br /> <br />PLlllBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />MECBABICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />