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<br />APPLICATIOlNl FOR PERKIT <br />CIlY OF ZEPIIYRIIILLS <br />BUllDDIc DRPARnIElNIT <br /> <br />OIlIlER'S IIAIIE SIIRIL):L<<<-. dfif fJ.1!1: li!s dAKKl1( <br />OWNER'S ADDRESS <br /> <br />PHONE <br /> <br />7/1'- .J 7 '-- I <br /> <br />JOB ADDRESS <br /> <br />3go 3' /I/}AIl_kCl S ()'A.~/LC' ~I <br /> <br />LEGAL DESCRIPI'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SlDBDIVISIOlNl <br /> <br />PARCEL I. D.I <br /> <br />WORK PROPOSED:_Jlev Construction _Addition __Alteration _Repair <br /> <br />Gnstall <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: Single Faai1y <br />/ ec-ercia1 <br /> <br />_KIF <br /> <br />_' of lllnits <br /> <br />_K/H <br /> <br />_Indust. <br /> <br />_Swia. Poo1 <br /> <br />Ot:her <br /> <br />_Restaurant &: Hea1t:h Depart:aent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOI' PLANS &: (2) SEI'S OF BUILDIlNIG PLUS &: 0) SET ENERGY FORKS. '** <br />ATTACH (3) SEI'S OF BUILDDG PLANS &: 0) SET EHRRGY FORMS. ** <br />**COPY OF CONTRACT REQm:RED. <br /> <br />PERlllITS REOU&<iTED <br /> <br />_BffiLDUIG <br /> <br />$ <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KEClWUCAL <br /> <br />s <br /> <br />Va1uation of Hechanica1 Installation <br /> <br />_PLUMBING <br /> <br />,/ <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _Pralle _Stee1 <br /> <br />Ot:her <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />******************~*~******************** <br /> <br />COJn'KACIOR SECTION <br /> <br />BffiLDER <br /> <br />COIItPDY <br />State Cert. or Regist. I <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAH <br /> <br />COIIPMiY <br />State Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />Siln1::1ture <br /> <br />PLOKBER <br /> <br />COIItPMW <br />State Cert:. or Regist:. , <br />City L1cense Registration I <br />**************....*...**.***..*.***..**.** <br /> <br />S ignatuie <br /> <br />KEmANICAL <br /> <br />CO!IPMilY <br />State Cert. or Regist. I <br />City License Registration I <br />...***....*..***.....*....*........**..**. <br /> <br />Signature <br /> <br />OTHER <br /> <br />lDfPANY S~ d.h~ G'~ <br />State Cer.t:. r Regist. I //e'r; <br />City License Registration I <br />.......*...*.*..**.*....2****.....*..***** <br /> <br />c;;~. <br /> <br />Signature (/ . ~ ~ '-~ <br />,?/ ./' <br />APPLICAnOIl APPIlOVED BY )( C14:~4Q ~ <V1~'- <br /> <br />PERKIT OFFICER. <br />