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<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPIIYRIlILLS <br />BUILDING DEPARTMENT <br /> <br />7r-d-7 - 7 L <br /> <br />OWNER'S BAKE () /.4-/1 <br />OWNER'S ADDUSS LIl r-; I' <br /> <br />S~CJ/YJ <br />:J f' t) .,,)~ .(, /tul"J1I L> A <br /> <br />PHONE <br /> <br />7 cf' d -/lJoJ';? <br /> <br />L 410 r <br /> <br />JOB ADDRESS <br /> <br />.s-/J/J1.E- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />B~SUBDIVISION ' <br /> <br />PARCEL I.D.f/'/-02b-';;/-CJI6[)-tJ~t)cJt!J-tp/J>O (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~w Construction ---.Addition ---...Alteration ~epair _Install <br /> <br />_Sign <br /> <br />---..Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: -":::single Faaily <br /> <br />--1t/F _' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---..Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: CC)/IJc/C~rE - S'#/?,o, - ,lJr;r/o - C/}~r'::Jo,,<-r- <br /> <br />BUILDIBG SIZE: <br /> <br />J> X G . ;}L~{; 1or,4-~quare Feet, 1:-OJ> Height <br /> <br />RESIDEHTIAL: ATTACH (2) PLOT PLABS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDIBG PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UILDIBG <br /> <br />$ 02.2 90 <br /> <br />Valuation of Total Construction <br /> <br />_ELEcrIUCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IEClWlICAL <br /> <br />$ <br /> <br />Valuation of lIechanica1 Insta1lation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY ' <br /> <br />TYPE OF COIISTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlJlISHBD FLOOR ELEVAnOIlS: <br /> <br />FT. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />~ ,,', 0" -, .COtIPAIIY /JClz /lI-IA.'). <br />/ v~.;J -' . State Cert. or _ist. t CR<-O.il ':1.6.1'"0 <br />_~ City License Registration' ~~~ <br />, .......................................... <br /> <br />Signature <br /> <br />RT.Il:CTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />.......................................... <br /> <br />SianAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />KECHABICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRF.R <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 />