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<br />APPLICATION FOR PERKIT <br />CITY OP ZEPllYRBILLS <br />BUILDING DEPARTHENT <br /> <br />, . <br /> <br />OWNER'S IWIE <br /> <br />w~ <br />b (;> ;LC/- <br />t <br />(<) JtI1 ~ <br /> <br />Iflf y AJ ~S' <br />I :'/~ r< cgr <br /> <br />PRONE, <br /> <br />78~ <br /> <br />f'32- <br /> <br />OWIIER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) ~SUBDIVISI01l <br />PARCEL I.D.' 0;2. ').,6 ,)..,1 O?~() 6C()oo 6' 70 (,OBTAIJt, PRDHPlmPERTYTAX NonCE) <br />WORK PROPOSBD:-Rew Constru<:tion ~ition --Alteration --.Jlepair _lnatall <br /> <br />_Sign <br /> <br />-JIOve <br /> <br />-De*>lish <br /> <br />PROPOSED USE: _Slogle Faaily <br /> <br />---lItP _' of Units --11/11 <br /> <br />__~rcial <br /> <br />__lIldust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OP wott: To /t)S7/Tt:-4- 10 f:)<) IR'~ s~, <br /> <br />BUILDING SIZE: ( Ox f70 . Square Feet. Ileight <br /> <br />RESIDEI1TIAL: ATTACB(2) PLOT PLAtIS &: (2) SETS OF BUlLDUG PLABS &: Ul SET ENmtGY FOMS. <br />COMKERCIAL: ATTACll(3) SI'1'S OF BUlLDIRG PLANS &: (1) SET bERGYFORHS. <br />plU)PmtTY SUB.VEY REQtJ1REI) FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$. <br /> <br />{7/~ -tflj <br /> <br />, <br /> <br />Valuation of Total ,Construction <br /> <br />RI.RctR1:CAL <br /> <br />NlP S-ervice <br /> <br />Florida P()wer Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br /> <br />$. <br /> <br />Va1.uation of IlecbanicallnstaUation <br />,~ <br /> <br />--PLUKBIRG <br /> <br />GAS <br /> <br />ROOnNG <br /> <br />SPECIALTY <br /> <br />TYPE OF COlISt'RucnOll: ____lock _Pralle _Steel <br /> <br />Other <br /> <br />FlIIISBBD PLOOlt ELEVAfiONS: <br /> <br />Fr. <br /> <br />IS PROJECT 111 FLOOD zon AlBAt <br /> <br />YES NO <br /> <br />...ft..................................... <br /> <br />11Ittl.Dm <br /> <br />CORTRA:CTOR SECTION <br /> <br />~ CdIP&IIY 5Glld YnH it!. <br />Sute <:en. or Real.t. t <br />. . . - c- ... - - .... City Liceosi! llegiatratioll . <br />. ::.:..::.................................. <br /> <br />,4 wI/' /'..v (/7 <br />7() <br /> <br />7;)e <br /> <br />Slgnatu-re <br /> <br />Itt JtC'l'lttCUN <br /> <br />COMPANY <br />StiLte<:ert . or Reaist. t <br />City, License a~istration' <br />........................................... <br /> <br />SU~hA~t.a.re , , <br /> <br />'PI'.raRRD <br /> <br />~ <br />State Cert. or Resist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />IIBCllMJ.CAJ'.. <br /> <br />COMPAn <br />State Cert. or Resist. t <br />City License Regis.tration , <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COItNft ~, <br />State Cert. or Regist. . <br />. City"Licenae Reg.istr:atiou,' <br />....ft...................................... <br /> <br />, ' <br /> <br />Sigaature " <br /> <br />APPLICA'1'mM' AtaPItOVEb' liT <br /> <br />~T OFPICD.. <br /> <br />.. <br />