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<br />APPL'ICATION FOR PERl-lIT <br />CITY OF' ZEPIITRHILLS <br />BUILDING DEPARTHENT <br /> <br />JOB LOCATION <br /> <br /> <br />( If /tlAr\. tJ{) !(r/) <br />,~rl- ODG' <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br /> <br />'. <br /> <br />AREA SQ. FT. <br /> <br />-- <br /> <br />BLOCK <br /> <br />-- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t~ <br /> <br />WORK PROPOSED:_New Construction ____Addition ____Alteration ____]~epair _Install <br /> <br />_Sign/Temp. <br /> <br />____Sign <br /> <br />____I'love <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____~~ of llni ts <br /> <br />, _____1'1/ H <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />____Swim., Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY rORHS. ~d- <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />____BUILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br /> <br />FT. <br /> <br />If B ~k v..f !. If!r (e <br />( hi /(1 h~ ..J <br /> <br />of <br /> <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />Frame <br /> <br />~*************~********* <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration n <br />***********~****************************** <br /> <br />J III- Company 111<< vt WO If! !ICIecl .7itc., <br /> <br />State Cert. or I~cgis.t, il /E,( 0 (1 J~.r-y ct <br />City License Registration il ~.:<O <br />************************************* <br /> <br />BUILDER <br /> <br />Signature <br /> <br />'" <br /> <br /> <br />.ELJ::..G.IR1.{; <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration U <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY, <br /> <br /> <br />Company <br />State Cert. or Regist. n <br />City 'cense RegistraSion il __ <br /> <br />OTHER <br /> <br />Signature <br /> <br />PERl'lIT OFFICER. <br />