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<br />R~'--~'Jed <br />fJJ~ <br /> <br />OWNER I S NAKE Tho In (} .5 W, f2Ja / I PHONE c:? ~ 7 -- ~ /5' 7 <br /> <br />OlIRER'S ADDIlBSs 13 37 f:;,-I-o~ D~. ~,(yr:7t<- - Pc _ <br />J08ADDRESSLof II Adv,"lIf /Jr. 2~/,ArJj/r:'PL. (b~oo) <br /> <br />LEGAL DESCRIPTION: LOT(S) fI= II BLOCK SUBDIVISION 5~ Iver Uct!:'!; Ut ;/c?t:;.p <br />/ <br />PARCEL loD.' tJ 3""'Z b -2-/- ()'20 C) - DO(J()::> - 0 / I D (OBTAIN FROM PROPERTY TAX NOTICE). <br /> <br />WORK PROPOSED: ~ew Construction _Addition _Alteration ~epair _Install <br /> <br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: ~le Faaily <br /> <br />-.-JIove <br /> <br />_Deaolish <br /> <br />_KIF _' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: ~ 2.. X "3, j b q Cj Square Feet, I h ' Height <br />. <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ c;, ~ ?O 0 <br />/ 5"" U AKP Service <br />.:< X- f?O- <br />( <br /> <br />Valuation of Total Construction <br />~lorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />_tlECIfAI[[CAL <br /> <br />$ <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />~ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Bloclt _Fraae _Steel Other <br />FlRISHED FLOOR ELEVATIONS: ;;;J.. '" IT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />..................................... <br /> <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />~ COKPANYR4-kL'~ ~ <br />//_// L5J- State Cert. or Regist.' ,e, 0 Y 1.IQ- It: <br />~ City License Registration' '2" '7 "- <br />....~........................~............ fJ <br /> <br />COKPANY r;AA.I-~_~X~ _- <br />State Cert. or Regist. . ('? '.z/ r::::-,J 7 <br />City License Registration' L C:, <br />. ..................................... <br /> <br />RUTI.DER <br /> <br /> <br />Signature <br /> <br />Hit <br />~26d. <br />I - ~ State Cert. or Regist. . <br />{J , City License Registration . <br />.......................................... <br /> <br /> <br />PLUKBER <br /> <br />tlECHANICAL ~ COKPANY 250 UJHE/l--"" C-.o '" -Fcrr:I f2 "'--"7' <br />7 () n;J / State Cert. or Regist. f ~ m DO t.~ G-<- <br />Signature......... .~ J/ ~'k...- City License Registration' ~ .? <br />~ .......................................... <br /> <br />OTRRR <br />Signature~-l <br /> <br />I>lIIPAIiY ~A~ ~ <br />J:!o .... State Cert. or Regis .. /<? c. :S" t!J d <br />A J....L..tA _ City License Registration f <br />.......................................... <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />