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<br />~ <br /> <br />", ~ <br />\PPL1.CANT \A-tA;e. E.\~'~ <br />'/\,DDRESS ~\A ~~~.:z~y,.<dr\":.\b f\ <br />nh'NER _~~ ~, -- <br />:"fI LOCATION ld t:S~ Rc>-.(A-'1- ~~ <br /> <br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPIIYRlIILLS <br />BUILDING DEPARHlE.NT <br /> <br />.. <br /> <br />PHONE l ~ 1..- ~')~ \ 9 <br />- O~ ~~vVl~-\J, <br /> <br />LOT SIZE_X <br /> <br />AREA SQ,FT, <br /> <br />LSCAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />P!,RCEL I. D .1t <br />',.JORK PROPOSED :_Nel.J Construction _Addition _Alteration _Repair ~Install <br /> <br /> _SiGn/Temp. _Sign _~::ove _Demolish <br />l'ROl'OSED USE: _Single Family _M/F _it of Units .._M/lI <br /> _Commerc i;11. _Indust. _Swim. . Pool . A1fe., (~ir Other <br /> <br />_Restaurant & 11enlth Depnrtment Approval <br /> <br />nUILDING SIZE: <br /> <br />.\._, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />comlERCIAL : <br /> <br />ATTACH (2) PLOT PLANS [, (2) SETS Of BUILDING PLANS & (1) SET ENERGY FOFJ1S.** <br />ATT ACll (3) s r.TS OF BUILDING PLANS & (1) SET ENERGY FOR~IS. ** <br />**COpy Of CONTRACT REQUIRED. <br /> <br />I'JillllTI5-l\E 00 EST ED <br /> <br />_BUILDING <br /> <br />s <br /> <br />valuation of Total Construction <br /> <br />V MECHANICAL <br /> <br />s--LJ ( 5 <br /> <br />MIl' Service <br />-.c- <br />") ,~ <br />~ <br /> <br />Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />V" ELECTRICAL <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOfING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />_Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />_c.QID.RAG'JOE SECTION <br />nlnT.DER Company <br />State Cert. or Regist. D <br />Signature City License Registration U <br />****************************************** <br /> <br /> <br />:Ti'::::::~A~A ~..",**..~m:;~;~1n~~~ <br /> <br />****************************************** <br /> <br />signature <br /> <br />Compnny <br />State Cert. or RCGist. ~ <br />City License Registration a <br />****~*************~~********************** <br /> <br />(954. <br /> <br />PLUMBER <br /> <br />Signature <br /> <br /> <br />Company '?~ ~\.Q~ <br />State Cert. or Regist. 1F_ <br />City License Regis tration j~ C> ~,~ <br />****************************************** <br /> <br />:= <br /> <br />, . <br /> <br />Signature <br /> <br />APPLlCA nON A 1'1'ROVCD Wi !;r;;;; ::t' ::;;;:;;";~? ....',,, ",;, "....... <br /> <br />Company <br />State Cert. or Regist. O. <br />City License Registration it <br /> <br />DTHF.R <br /> <br />PERl-lIT OFFICER. <br />