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<br />APPLICAITON FOR PERKlT <br />CITY OF ZEPIIYRBILLS <br />BmLDIRG DEPARTMENT <br /> <br />- o'b <br />)d-.-l~ -I , <br />/ 0" cf1J <br />r . <br />"YKY JO , <br /> <br />PHON~l}) CJ1/:""/3bt. <br />....,/ " ' <br /> <br />0IlIIBR' S IIWII\ BAy (/ / / ~ .e ~ _ , <br /> <br />_'s_,= i;~ :Jj/ <br />JOB ADDRESS - -..- 6?_ _ <br />( <br />LEGAL DESCRIP'lION: LOT(S) gd-. BLOCK c9.. SUBDIVISION 5/L.Ve{2 O,z:;k!:; <br /> <br />PARCEL I.D.' _ '(OBTAIN FROM PROPERTY T~' NOTICE) <br />X 3-,;l6-f}I-oI6CJ"'~4:J..-CS'cJC) . <br />WORK PROPOSED:~ew Construction ---..Addition ----..Alteration ~pair _Install <br /> <br />_Sign <br /> <br />PROPOSED USE: ~Sin&1e Faaily <br /> <br />---IIove <br /> <br />--->>eaolish <br /> <br />----Yt/F _, of Units ----Yt/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other" <br /> <br />---.:Restaurant Ii: Health Departaeot Approval <br /> <br />DESCRIPTION OP WORK: 51#7l.e <br />'-' <br /> <br />~Aft1/LC/ <br />/ <br /> <br />Re'5 <br /> <br />BUlLDIRG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OP BUlLDIRG PLANS Ii: (1) SET SNERG!'FORKS. <br />GOMKERCIAL: ATTACH (3) SETS OF BUlLDIRG PLANS Ii: (1) SET SNERG!' FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />RT.RCDlI.CAL <br /> <br />')0 ()CJO <br />$ ~(.~.,.~ <br />/~ <br />$. .3/00 <br /> <br />PERKI.TS REOUESTED <br /> <br />--"UILDIRG <br /> <br />Valuation of Total Construction <br />A!IP Service X Florida Power Corp. <br /> <br />'I: .' <br /> <br />W.R.E.C. <br /> <br />----1IECIIA1IICAL <br /> <br />Valuation of tlechanica1 Installation <br /> <br />--..PLUMBING <br /> <br />GAS <br /> <br />X Block <br /> <br />,. <br /> <br />st;);II~tiOOFlllG <br />- <br /> <br />SPECIALTr <br /> <br />TYPE OF CORSTRUCTI.ON: <br /> <br />_Fraae _Steel, <br /> <br />Other <br /> <br />RIITT.DER. <br /> <br />._/1- <br />PI1IISBBD FLOOK ELBYAnOIfS: Fl. IS PROJECT IN FLOOD ZOIlE ABBA7 ':;X" . '., <br />,,,,.,tis " . NO <br />.......................................... --, ~ ' <br />'",' <br />:y- <br />'-. <br />CONTRACTOR SECTION' ''f:', <br /> <br />=~~2:!.~~c~~ <br /> <br />City License Registration , <br />.......................................... <br /> <br /> <br />Signature <br /> <br />IU.RCTRICIAR <br /> <br />SionAture ~ a <br />- ~ <br /> <br />, COMPANY <+ 5 kLec"{jfi --I'~, ':fff-c- <br />~ State Gert. or Regist.' , ~ '~ <br />City License Registration', \)..,: <br />.......................................... <br /> <br />P~UMBER <br /> <br />COMPANY ~ y ..f <br />/ -' / y:? ___/'I)-~ State Cert. or Regist. . D6~ <br />C/[/ ~ ~';: City License Registration' / <br />" <br />.......................................... <br /> <br /> <br /> <br />Signature <br /> <br />IlECBANICAL <br /> <br />OL' <br />, ~ COIIPABY,. <br />-' State Gert. or Regist. . <br />, A ,4 City Liceose 1legiatration . <br />.. ....................................... <br /> <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Gert. or Regist. . <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAITON APPROVED BY <br /> <br />PEBHIT OFnCa. <br />