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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S .A_ n m OYf1(i(Uj(D --' .. . PHO.JJ2J7S' q12f <br />OWNER'S~~Jia~f t 10nrrI 33un7 <br />JOB ADDRESSJi!7 ft;l __ .I\~' 33541 . <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:----New Construction ----Addition ----Alteration ~epair ____Install <br />A-Sign ---1Iove _D eao I ish <br /> <br />PROPOSED USE: ____Single Faaily <br />-X-~erCial <br /> <br />---1I/F ____' of Units ____K/B <br /> <br />____Indust. _Swia. Pool _Other <br /> <br /> <br />it - Yi <br />t/\Ik-\ rr '(+ 1.11111 (I'~2/a,/1 5111 <br />X Square Feet. Height )fl.Jj . \A..U.. ..11{j',I./-,./}..l I <br />I) ~lrInt W1II ~llVl J -tJ~ 5igll <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLAN & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. (4 f-tiS" CanDP-j rrqrt; <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 2..'-111)(-1/~~11 <br />PERMITS REOUESTED <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />LBUIIJHNG <br />_ELECTRICAL <br /> <br />$ ~ 40DJ21) <br /> <br />Valuation of Total Construction <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLtRtBING GAS ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF OONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COtIPANY \ ] .. <br />State Cert. or Regist.-'__ _ <br />___ _ City License Registration . __ <br />....................~..................*.. <br /> <br />Signature --'- <br /> <br />L-.1 <br /> <br />RI.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />PLtRtBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY a tL-I:h f) fS,k IJ Y S In L . <br />\\ v1;) / /"?/I/f State Cert. or Regist. , ES-(2CJCJO l.s 0 <br />,;.J ~j 2.L UP!II.. City License Registration' 9 l(- DC) /</OOfoC(J <br />.......................................... <br /> <br />OTRF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />