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<br />OWNER'S NAKE AUTb~bTi\JE. ~AL-~ <br />OWNER'S ADDRESS I'"30'/-' Avn-'1DR'~ Dn. <br /> <br />.~. '"?.L~ 7- / ~ - ~,V <br />if R r /rlS'- Jif:, <br />... &J. -4'11~ ~~J/b ,J'55~ <br />dW.uv II ,~jc{,1-~~). <br />PHONE('8"~ 57Z.-7'{q.O <br />. C~~wA~ ~Q.t'9A "3C/~"Z.-'Z- <br />~ c,~ 'f .$.~I <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />~s ;0 U. s. Ifwf.( "3 tJ , <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />2 <br /> <br />BLOCK <br /> <br />SUBDIVISION2.e.f""'....R..iu..s &c~v7lIlE R4-i!1( <br /> <br />PARCEL,I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ..:.-New Construction _Addition ----Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />\. <br />----.Jt/ F <br /> <br />_' of Units _M/H <br /> <br />"""""-ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant I( Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: }.)~,,;, ~v~ -S71J~ ,I'I1I#t5DlJlt.'1 (S7l1L. "RU/l:b;4J6 <br />BUILDING SIZE: ~o' X q2..', 4fpoo Square Feet, 18'-b'ueight <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS I( (2) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS I( (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-LBUlLDING <br /> <br />PERHITS REOUESTED <br />$ /SO. c) 00 ' C/O Valuation of Total Construction <br />, <br /> <br />..L..ELECTRICAL <br />~MECHANlCAL <br />-..JL.PLUKBING <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />x <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -L,Block _Fraae ~Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <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 />COMPANY M.1:>. '8OlL1:>ER~.:::r:;uc. <br />/ State Cert. or Regist. ,cSe l?Yz.o.f-' <br />~+-'~ /:>.~ City License Registration' ::l k s;;- <br />, *** ** ********************************** <br /> <br />)(..~' <br /> <br />Signature <br /> <br />~ ~. COMPANY tM~u~ !iZ"..Iy,"c- <br />f) . () J 1_ State Cert. or R gist. . t!:~ ~~~ <br />e '/J~ ~J2A City License Registration' I /;rb 9 <br />. ******** ****************************** <br /> <br />PLUKBER _ COMPANY G,E, (2hy/,S+' 4nS?t. -PIUfJ1b,;'j <br />/J (' ;1J /) "-~./ State Cert. or Regist. , CF o d.-h 56/ <br />Signature ~ (_ .~~ City License Registration' ..J..l/ :J...J..f <br />****************************************** <br /> <br />~~ <br /> <br />/hG.y <br /> <br />COMPANY C,Ij C <) I" I r;:Ji <br />00;""' "_ _ ("""") State Cert. or Regist. . <br />Signature '-... j1:'-"::-_\R~-- City License Registration' .:2. ~tl.:~ <br />* *************************************** <br /> <br />OTRRR ~~' GOIIPANY 4k{, tz.",p~ C~l1>~ ~ ' <br />~ <1? (t . State C&rt. or Regist. I cc q.Z -72- <br />Signature ~fl.-UGfl.-, ~~ City License Registration # <br />*** ************************************* <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />!h > L H- <"') ")~...,.,~ <br />",-l,-,+.:...ic.1" ...;7, I --l"-l.lI.~ <br /> <br />v <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFle <br />