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<br />- '..--r: (f}.A~i . ~ <br />^"'/\ .A A JA)...-l.eJ C ./::fC'~ <br />~ r f<YJ 63 :;!1j!-:--:-- <br />c <br /> <br />OWNER'S N <br /> <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />L '535gc; <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCJL <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br /> <br />(OBTAIN FROM PROPRRTY TAX NOTICEl <br /> <br /> _Sign -Hove _Deaolish <br />PROPOSED USE: _Single F8IIily _M/F L. of Units <br /> K-eo..erCial _Indust. _Swill. Pool <br /> <br />_Repair ~~~/.. <br />CtJl)'7/1 -;Wf <br />LM/H t~J,~r <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: --1!2-&,~square Feet, <br /> <br />_Restaurant &- Health Departaent Approval <br /> <br />_Other <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />Height <br /> <br />ATTACH (2) PLOT PLANS &- (2) SETS OF BUILDING PLANS &- (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &- (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/BUlLDING <br />LELECTRICAL <br /> <br />PERMTTS REOUESTEQ <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-JlEClWUCAL <br /> <br />LPLUMB~riG <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />FllUSBED FLOoR ELEVATIONS: <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fr_e _Steel <br /> <br />Other <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOoD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BIIT~.n1l',ft <br /> <br />CONTRAC'l'OR SECTIOti <br /> <br />Signature <br /> <br />COMPANY <br />~ State Cert. or Regist. . <br />CtJ~12 City License Registration . <br />****************************************** <br /> <br />/fir <br /> <br />~ <br /> <br />m~ ~ COMPANY <br />! State Cert. or Regist. , <br />~:::: - '~~~ ~CitY License Registratton' <br />** * ************************************* <br /> <br />J ?v <br /> <br />~ <br /> <br />PLUMQq <br /> <br /> <br />COMPANY <br />tate Cert. or Regist. . <br />City License Registration , <br />************************************** <br /> <br />Signature <br /> <br />//:'1 <br /> <br />~ <br /> <br />IlECBAWIGAla COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />OTllFJt COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPIlDVED BY PERIO:r OPFICER. <br />