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<br />APPLICATIOI1 FOR PERKIT <br />CI'IY OF ZEPHYImILL.S <br />B1JIIJ)DIG DEPA1l1IIE:I11' <br /> <br />OWNER'S NAME ~ L S-.> I E /I AT( .D 1 mONE '7:l- ~r- r( 2- I "1-" <br />{/ <br />OWNER'S ADDRESS :S~f ~5 ~ (0 A-1JE. ~~ff//...lS Fe.- 5Jsrr <br />JOB ADDRESS :5 f (37 - ( U If'UE. A' <br /> <br />LEGAL DESCRIPTION: LOl'(S) BI.OCK SUBDIVISION <br />~UAt:.... f? t/,L rfcE.H ~ V-' ?-JOA/' #.6+? "7't, 1'-7 c~ h~~ 5/...v 6' 'U.Ah;--' <br />PARCEL LD.' <br /> <br />WORK PROPOSED:_l1ev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!love <br /> <br />_D~lish <br /> <br />PROPOSED USE: ~ing1e Faaily <br /> <br />_KIF <br /> <br />_, o:f Units <br /> <br />_MID <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swf... Pool <br /> <br />Other <br /> <br />_Restaurant &: Bea1t:h ~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COttKERCIAL : <br /> <br />ATTACH (2) P1.OI' l'IAI1S &: (2) SEIS OF BUILDING PLMilS &: (1) SET ENERGY FORMS. ** <br />A1TACH (3) SEIS OF BUII.DDiG l'IAI1S &: (1) SEI' Eml'RGY FORMS. '*'it <br />**COFY OF CONI'RACT BIlQtJJIRIID. <br /> <br />PERl!lITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation o:f To1:a1 Construction <br /> <br />_ELECTRICAL <br />J KECHAlUCAL <br /> <br />AfIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ :2, Iff!Y <br /> <br />, <br /> <br />Valuation o:f Mechanical Installation <br /> <br />_PLUMBING GAS ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Pralle _Steel <br /> <br />Other <br /> <br />FInSHED FLOOR ELEVATIOI1S: <br /> <br />FI' . <br /> <br />IS PROJECT lli FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COWTI'RACIOR SECTION <br /> <br />BUILDER <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************'** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COKPMY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Silmature <br /> <br />PLUKBER <br /> <br />COKPMIY <br />State Cert:. or Regist:. , <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />KECHARICAL .' 7 COKPANY /1- / A-?j) &K. ,~ '- <br />/,-7 tfl~ _ State Cert:. or Regist. I C A- I f'lf~ 3 <br />Signa~~ ~- City License Registration" 1 J ~ <br />~ ****************************************** <br /> <br />OTHER <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />APPLICAnOlr APl'IIOVED BY /1" /h 1 >fj ~f)..0 <br /> <br />PERKIr OFFICER. <br />