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<br />'V-'L-S <br />})~ <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYlUIILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAME <br /> <br />If \f- R. I^t~l's+A-+~ Mob,' (e <br />OWNER'S ADDRESS 3S~7 Hwy 5'f&J -~~y(",'f(~ <br />Lo+ ~ (p - &;037 Zephyr f(,,~€- Dr <br /> <br />Ha/fi ej PHONE ~ I :3 - 7";;', - ;)9.7 " <br />33511 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' 03 - d,(,,- dJ - 0310 - ODOoo - 00",0 (OBTADl PRlJII PBOPEl!.TY T::.2-~J <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br /> <br />~gle <br /> <br />--,"<>ve <br /> <br />_Deaolish <br /> <br />Faaily <br /> <br />_M/F <br /> <br />_, of Units <br /> <br />-M)JI <br />~ther tflMu!:tc-fvre) <br />H-Ot"ll-e, <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Restaurant & Health Department A~roval <br />DESCRIPTION OF WORK: L'\ 6' lkt{ It W mAY! u 4.-( -f u rd <br />BUILDING SIZE: ;)J?' x If';)'. tf' la6g'square Feet. Height <br /> <br />hOFJ1 ~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UlLDING <br />V ELECTRICAL <br /> <br />Z:~ <br /> <br />PERMITS REOUESTED <br /> <br />$ ;(5) ~50 <br /> <br />, <br /> <br />150 AHP Service <br />/1f~O <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />r:::/ <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS ROOFING SPECIALTY <br /> <br />TYPE OP OORSTIlUC'lION, _BIock _p....., _Steel tj/tt Other <br /> <br />PDiISHED FLOOR ELEVATIONS:*Fr. IS PROJECI' IN FLOOD ZONE AREA? <br />YES <br /> <br />/ <br /> <br />NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACI'OR SECTION <br />,:-d/~ ~p i~~ COMPANY Bc)t+er+;eJd fVlDbi~ H~tI1e <br />C--b; -~t1,,// <'P'_ ~ State Cert. or Regist. . <br />~ ~ City License Registration' &.If <br />****************************************** <br /> <br />Serv:ce. <br /> <br />RUTT.DER <br /> <br />=CIAR ~ COIlPANY C!.-f,vuIU ::J.;r)Il'1 <br />:...c:.-. State Cert. or Regist. . <br />ure - City License Registration . (7~ <br />****************************************** <br /> <br />PLUMBER ~ COMPANY H.j- R. ~t1.fe,JIf-i<. M H <br />L#) ".., State Cert. or Regist. . <br />Signature /~ '<-- City License Registration t ':L..7 ~ <br />- ****************************************** r' <br /> <br />Signature <br /> <br />~ &.L. COIIPANY {<, ft~r's f,-OLWre. bitS .J- R/~ <br />6. ~ State Cert. or Regist. t <br />City License Registration' /.'"( <br />***********~****************************** <br /> <br />MECHANICAL <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />