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<br />.' <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDUSS <br /> <br />1!$1f'T <br />t?,J 0 <br />L. or~ IS <br /> <br />1IJet/f/l <br />jIJ t1 /( "IN L Ai( f. [) R- - <br />blJD VOR:'1"1..j L. /}KE D~. <br /> <br />PHONE <br /> <br />/~tf'~ 9'11.L <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCIL-SUBDIVISION <br />PARCEL LD...J>-:21:. -;)..J~ O/SD - OOCfX)- {)/S"O (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: t/Rew Construction ---..Addition -ftlteration ---.:Repair _Install <br /> _Sign ---Jtove _Deaolish <br />PROPOSED USE: ~sing1e Feaily ---1'11 F _' of Units ---Jt/H <br /> _ec:-ercial _Indust. _Swill. Pool _Other <br /> <br />---Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF won: <br /> <br />..SCR.. E-./t ~ te.o D M.J- 1€/lJO~ <br /> <br />BUILDING SIZE: / / x ;).J..., d cJ2. <br /> <br />Square Feet, P7IJ 7' Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />/:2 5'() Do <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"EClWfICAL <br />---..PLUtlBING <br /> <br />$ <br /> <br />Valuation of lIechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY. . <br /> <br />TYPE OF CONSTRUCTION: ~lock _FraIIe _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR BLEVAnOIlS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA"l <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />, .. <br /> <br /> <br />N!/.iL <br /> <br />CONTRACTOR SECTION <br />cdttPANY /leE /J L U jt? / <br />State Cert. or Regist. . CI.:. coJYbcf'/() <br />City License Registration' J>3 <br />......................................*... <br /> <br />Signature <br /> <br />RT.RCTRICIAH <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SianAture <br /> <br />PLIDIBER <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration t <br />..........*............................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COKPANY <br />State Cert. or Regist. f <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY, <br /> <br />PERKIT OFFICER. <br />