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<br />APPLICATION FOR PElUlIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTKENT <br /> <br /> <br />OWNER'S NAME (;.e..i-S AA K.\ ~ s\-fu. C~ e/l, IA.t <: . <br />OWNER'S ADDRESS I ~ ~ S ~ ;>.. \ $:""\ <;1- / '\) d<- ~ <br />JOB ADDRESS (p q I '1 t) Cl k.. CJu ~--t W ~ <br />LEGAL DESCRIP'l10N: LOT(S) \ '3 <br />PARCEL I.D.' f)tX ~ i1--l t>~ axco <br /> <br />BLOCK <br /> <br />SUBDIVISION 8~C'.c.es~- c:S~~ <br />(c~ :r <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />0130 <br /> <br /> / <br />WORK PROPOSED:~ew Construction ..-.Addition --Alteration -.Jlepair _Install <br /> _Sign ~ve _Deaolish <br />PROPOSED USE: / Single Faaily ---3f/F _' of Units _K/H <br /> _~rcial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departllent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: ~tlq.ilx ~OJ . I q L.\: <X' <br /> <br />Square Feet ,-1 i Height <br /> <br />RESIDENTIAL: ArrACK (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ArrACK (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />PERKITS REQUESTED <br />$ S8500 Val.uation of Total Construction <br /><;l 19 0 AIIP Service ~ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECI'RICAL <br /> <br />--1IECllAllICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING _~ <br />TYPE OF CONSTRUcnON: LBlock <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVAnONS: J- F'l' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />/' <br /> <br />.......................................... <br /> <br /> <br />BIJTT.nER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />WtPANY G~~ <br />State Cert. or Regist. .~ (}d ~ I S' 6"? <br />City License Registration . .il1 <br />........."............................... <br />/ <br /> <br />COMPANY H a Tit;., E2e cfr. " e-- 'if6c . <br />State Cert. or Regist. . 6/C 00/3 y9 <br />City License Registration' 97 <br />.......................................... <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />...................................... <br /> <br /> <br />Signature <br /> <br />~ <br /> <br /> <br />OTRRR ~' tijjJ' 1 COMPANYk~~tl ~<;.i' ']:1,-(. <br />, II y--- State Cert.' or Regist.' f< p, oO;}..,," ~-a <br />Signat~ ! Ii ", " ~ City License Registration f 111 <br />~/J .......................................... <br /> <br />APPLICATION APPROVED BY <br /> <br />KbDRI~ <br />Signature <br /> <br />COMPANY S6D-rH FiL-v <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />C~'-f-~ ~ <br /> <br />~- ~ S-? <br /> <br />PERKIT OFFICER. <br />