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<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPBYlUIILLS <br />BUlLDIRG DEPARTMENT <br /> <br />OWNER'S IWIE J...l AlJJij R ~F F / r <br />OWNER'S ADDUSS ..3 '1 K / P.. 'e. ~ I..J.. I () P E. L kl, <br />JOB ADDRESS~ L.L 13..W, <br />LEGAL DESCRIPI'10N: LOT(S) BLOCIL--SUBDIVISION <br />()oqo <br />PARCEL I.D.' 'I..J(,-ctl -O(J/~.~{)J.Otj - CJ610 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PBONlW17 tl..- 5 ~ es <br /> <br />WORK PROPOSED:-"ew Construction --Addition ----1U.teration ~pair .....x....Install <br /> <br />----lJign <br /> <br />~ve <br /> <br />---Peaolish <br /> <br />PROPOSED~E: ___S~eF8IIi~ <br /> <br />...25:...Jt/F ___, of Units ----1.'t/B <br /> <br />-X-~rcial <br /> <br />_Indust. ___Swia. Pool _Other <br /> <br />____estaurant &: Bealth Departaent Approval <br /> <br />DESCRIPI'ION OF WORK:installina (2) sharnDoo bowls for beauty salon <br /> <br />BUlLDIRG SIZE: <br /> <br />x <br /> <br />. <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDEIITIAL: AT'I'ACB (2) PLOT PLANS Ii: (2) SETS OF BUlLDIRG PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: AT'I'ACB (3) SETS OF BUlLDIRG PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UlLDIRG <br /> <br />$. <br /> <br />Valuation of Total Construction <br /> <br />RT.RcrRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />N.R.E.C. <br /> <br />.-JIECIWI1CAL <br /> <br />$. <br /> <br />Valuation of Kechanical Installation <br /> <br />-1l-PLUHBIRG GAS ROOFIRG <br /> <br />SPECIALTY . <br /> <br />TYPE OF CORSTRUcnON: --.B1ock ~raae _Steel <br /> <br />Other <br /> <br />FDlI5BED FI.OOll ELEVAnORS: <br /> <br />Fl. <br /> <br />IS PROJECT IR FLOOD ZORE AREA., <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />.' <br /> <br />Signature <br /> <br />CdKPAIY ~u 1 I lJM1"- : <br />State Cert. or Regist. t <br />City License Registration , <br />.......................................... <br /> <br />.e;j 1"" ..- <br /> <br />=-wi.M1 <br /> <br />RIITTJ)ER <br /> <br />11"::--- - .. - -_.- -- <br />~~~_.... <br /> <br />SianAture <br /> <br />COIIPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />RTRCTRTCTAR <br /> <br />PLIDIBER <br /> <br /> <br />COMPANYCoral Isle Pools/Delafield 'Const / <br />State Cert. or Regist. t <br />City License Registration' .a:cPP PLBG Contr ~7 <br />...... ................................... <br /> <br />Signatur <br /> <br />IlECBANlCAL COIIPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />...~...................................... <br /> <br />APPLICAttOR APPROVED BY PERHIT OFFICER. <br /> <br />" <br />