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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIIlUIILLS <br />BUILDING DEPARTHENT <br /> <br />/'. b./ (/~ <br />.>. <br />99/-/3" <br /> <br />_'S_~ ~~ AJk <br />OIiIIER'S ADJlR~ "{0~ ' eo.. -A~ <br />JOB AIlIlllllSS Blob ~ <br />LEGAL DBSCllIPrIOR. I.OT(S) Z/ ~ I? 8LOCl< SUBD1VISXOR J{k /),1/ !;c <br />PARCEL I.D.' .f-d/'-.:I/ - CJ/07() - ClOOO6 -Otla1tf(OBTAIN FROM PROPERTY T~ NOTICE) <br />WORK PROPOSED: .>( New Construction ---..Addition ~teration --...Repair _Install <br /> <br />PHONE <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />~lish <br /> <br />PROPOSED USE: XSiDgle Faaily <br /> <br />-.JI/F _' of Units -Jl/B <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--...Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: ~ ~ ~ h 7?6 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEHTIAL: ATlACII (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COMMERCIAL: ATlACB (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RT.RCTlUCAL <br /> <br />PERMITS REQUESTED <br /> <br />$. c-J5 CJ 0 Valuation of Total Construction <br /> <br />AKP Service X,l.Orida Power Corp. <br />. d> <br />$. 5~ Val.uation of Mechanical Installation <br /> <br />"t' , <br /> <br />--BUILDING <br /> <br />W.R.E.C. <br /> <br />-1IEClWlICAL <br /> <br />--.:PLUHBING <br /> <br />GAS <br /> <br />RooPING <br />~Fraae _Steel <br /> <br />Other <br /> <br />SPECIALTY <br /> <br />TYPE OF COBSTRUcnON: ---..Block <br /> <br />FIBISBED FLOOR ELEVAnOBS: <br /> <br />Fl. <br /> <br />IS PROJECl IN FLOOD ZONE AREA! <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />RT.RCTRICIAR <br />S:lrmJlture"p~#'/~ <br /> <br />BIJTU1ER _ COHPABY <br />~"?u ~ State Cert. r IleRist . <br />Signature City License Registration , <br />' .......................................... <br /> <br />. I <br /> <br />COMPANY 51- ~ ~ec~/C <br />e State Cert. or Regist. I. CJ!5/,3(; <br />~ . City License Registration', ~ <br />........................................ <br /> <br /> <br />PLUHBER COMPANY <br />er . <br />Sigoat City License Registration , <br />................................... <br /> <br />flECllANICAL g:;~ COMPANY ARc A (~ <br />~ f/./.I~ State Cert. or Regist. I. C"'TC032.l.f-((7 <br />Signatur~ -e~ v~ City License Registration, d9r~ <br />.......................................... <br /> <br /> <br /> <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLlCAnON APPROVED BY i <br /> <br />P ~. <br /> <br />~,'~"~a:i' <br />~;a"".. <br />