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<br />OWNER'S ADDRESS <br /> <br />~~ f ~/91 <br />r~ \ ~o' \}", <br /> <br />lh,." .), '" ./tV-' PHONE 1/ 3 - ?IJ 1 - 7"jt>7 <br />6b3~ ~JlLIk<;vr1.- ~ Z~~i1n,LJIJ.I r)tnnc'A. ./35"'11 <br />JOB ADDRESS It; Jta ~tv'<.'tf. (jLi"J /J;~ zytr,i,~) ffi;i;k, 7JStt; <br />LEGAL DESCRIPTION: LOT(S) /~ BLO~dJ?SUBDIVlSION ~'IVoe-- tJ~1w <br />PARCEL 1. D.' t) 3 - z Ie - 2/ - 0 f2.1+ - 0 OU/Jl.,) ~ () J , 'l) (OBTAIN FROM: PROPERTY TAX NOTICE) <br />WORK PROPOSED:-4ew Construction --'ddition ~teration ~epair _Install <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAKE <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_KIF _' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_lndust. _Swia. Pool _Other <br /> <br />~estaurant & Health Departaent APf~val <br />DESCRIPTION OF WORK: ~~)... f~..,.)11 tVffril'\;- fj>~ <br />LIe, c'7 -J tI' pt.'-/.. L~ <br />BUILDING SIZE: -, X Jj.::? ~7,} Square Feet. Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS 1& (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING ~LANS 1& (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS REOUESTED <br /> <br />4-sUlLDING <br />KELECTRICAL <br />XKECHAIIlCAL <br />-K.PLUKB~NG <br /> <br />$ 16/Joo'- <br />/ <br />j~D <br /> <br />300D-- <br /> <br />AKP Service <br /> <br />Valuation of Total Construction <br />~Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br />~ ROOFING <br /> <br />SPECIALTY <br /> <br />GAS <br />TYPE OF CONSTRUCTION: 4B1ock <br />FDlISHED FLOOR ELEVAITONS: ~ 'FT. <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br />COKPANY />;11; ~ ~ ,$.. <br />State Cert. or Regist. . C/lL (J5'h/~f <br />City Lice~e Registration' ~.~ <br />****************************************** <br /> <br />BUTTJlER <br /> <br />:~~ R~ <br /> <br />COKPANY ~ I$I-.Jv.v I <br />~ ~ ~ State Cert. or Regist. t f/Il.- L 716' / _ DOISbf.o <br />j'j. .' City License Registration' z.fil <br />.. ...................................... <br /> <br />Signature <br /> <br /> <br />COKPANY 'L <br />State Cert. 0 Regist.' C!..:FC <br />City License Registration . <br />** *************************************** <br /> <br />M COKPANY ~h ~ f) Jt..Zvt <br /> <br />~ ~ State Cert. or Regist. . <br />~ . ( City License Registration . <br />** ***** ******************************** <br /> <br /> <br />PLUKBER <br /> <br />Signature <br /> <br /> <br />Signature <br /> <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />jt,..J;, <br /> <br /> <br />OTRRR <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKlT OFFICER. <br />