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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILIS <br />BUILDING DEPARTMENT <br /> <br />J~f)i)d~i.II(l~._'7 ~. <br />~,.., ~ ~. .' 1-{ <br /> <br />OWNER'S NAKE (~Q \ /) ) Iff? tt s; {Ji''1 <br />OWNER'S ADDRESS :~ % ~ Lf S ' b 4Jl'. flu f- <br />- - 41 . . <br />JOB ADDRESS :;) 0 / to - 117:!!>' SI (" e f j- <br />LEGAL DESCRIPTION: LOT(S) ;q-f,){) BLOCK :2/3SUBDIVISION ('/)1 [)I ?IAI//(l <br />PARCEL LD.' /)- J It) - J J - (JOlt) .-:2 r:; ~ [) ~()Iq () (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE I] f ;;; ~ L() & 17 <br />Zeot1 ryh1ft r(. ,~3,SL);) <br />I <br /> <br />WORK PROPOsm:--i-New Construction _Addition _Alteration' _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: 1.single Faaily _M/F _' of Units _M/H <br /> _ec-ercial _Indust. _Swiat Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: nf iO :~ be rJ I bofl? hJo CK tons/rljel; t) h <br />BUILDING SIZE: .1 '7. It; x 3!~. J j q;). Square Feet. /4 Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-X..BUlLDING <br />LELEC'fRICAL <br />lKECIIAliICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ 3 7, SO/) . () tJ Valuation of Total Construction <br />, <br />;;(1) D AMP Service Florida Power Corp. <br /> <br />$ ;) ()(){) 6 D{) Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />LPLUMB~NG . GAS <br />TYPE OF CONSTRUC'l'ION: LBloclt <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FDU.SHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />IJIIIDER ~ COIIPAIIY N~ ( I fk; l'I1e 4:: T fIC · <br /> <br />4'/1 . J~ /, AI State Cert. or Regist.' 'Re. 03% IJ ~ ~ <br />Signature'! L~ J.7' /~ City License Registration' J 7& 0 <br />****************************************** <br /> <br /> <br />~~- . ~ COMPANY fe [I <br />State Cert. or Regist. t <br />e City License Registration , <br />. ****************************************** <br /> <br />PLUMBER .~ "'D COMPANY !{ e S : ./ <br />/J~. ~ /7: State Cert. or Regist. t V <br />Signatur~;;'~ hf .L~ City License Registration . <br />~ ****************************************** <br /> <br /> <br /> <br /> <br />MECHANICAL <br />Signatur~ ~. <br /> <br />COMPANY 70,. iV g, ~A/AlFIs <br />./) /J State Cert. or egist. f~4C~ fd6i::> <br />t?~ City License Registration' J l <br />****************************************** <br /> <br />v <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />