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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'SIWIE .~j'( l/YA/ {J~F <br />OWNER'S ADDUSS 3 J J 3 L~ 13 /lu (.1. <br /> <br />PHONE ) tft9 - Sat:, d <br /> <br />JOB ADDRESS <br /> <br />~8']'J~ <br /> <br />B /lv' 0", <br /> <br />LEGAL DESCRI.PTION: LOT(S) BI.OGIt.--.SUBDIVISION <br />PARCEL LD.' 1L/~c!2(, --~/- "Old - (J.syc;{) -.OCJ/{"} (OBTAIN FROH PImPRRTY TAX NOTICE) <br /> <br />WORK PROPOSED:-"ew Goostruction ----Addition ---Alteration ---.Jlepair _Install <br /> <br />_Sign <br /> <br />---lIove <br /> <br />---Peaolish <br /> <br />PROPOSWWE: ~s~eF_i~ <br /> <br />---14IF _' of Units ---14IH <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---.Jlestaurant Ii: Health Departaent Approval <br />DESCRIPTIOR OF WORK: JJ U I J.. 7 u r f[ 00 r=- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUlLDIRG PLANS Ii: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDIRG PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />L.BUILDIRG <br /> <br />$ i./?c)(}~ dO <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTRICA.L <br /> <br />AItP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IECllAlJI.CA.L <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />-YLUHBDlG GAS ROOFIRG <br />TYPE OF roRSTRUGTIOR: --.--Block ~Praae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />PIRISBED FLOOR ELEVAfiORS: <br /> <br />Fr. <br /> <br />IS PBOJEC'l IR FLOOD zon AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />COHPAIiY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />BUn.DER <br /> <br />Signature <br /> <br />RT.RGTlUCIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />SiMlAture <br /> <br />COHPAIiY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />cotIPA1IY 81'11' /l/l '" N- ,-zCYF>/~ <br />State Cert. or Regist. . ~(I-'!.JI.25'1/ k <br />City License Registration . <br />.......................................... <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTIIF.R <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />