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<br />APPLICATI05 FOR PERKIT <br />CITY OF ZlWHI'KHllnT.S <br />BUILDllIG DRPAR'DIE5T <br /> <br />OWNER' S RAKE <br /> <br />moB <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPJ'IOl!i: I..OT(S) <br /> <br />BI.OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />WORK PROPOSED:_lIfev C'oost:ruct:ion ----l'ddit:ion _Alt:erat:ion _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_>>eaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_"IF <br /> <br />_, of Doit:s <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust:. <br /> <br />_Swt.. Pool. <br /> <br />Ot:her <br /> <br />_Rest:aurant: & Realt:h ~t: Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet:, <br /> <br />Height: <br /> <br />. RESIDENTIAL: <br />COItKERCIAL : <br /> <br />ATTACH (2) PI.Or PIAKS & (2) SEI'S OF BUILDING PI...!\.5S &(1) SET ENERGY FORKS. u <br />ATTACH (3) SEI'S OF BUIIJ)DlG PIAKS & (1) SET ENERGY FORKS. ** <br />**COPT OF COIfI'RACT RIlQm:RIlD. <br /> <br />PERKITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuat:ion of Tot:a1 Coost:ruct:ion <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECH.AlfiCAL <br /> <br />s <br /> <br />Valuat:ion of Hecbanical Inst:allat:ion <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />KOOFDlG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Pralle _St:eel <br /> <br />Ot:her <br /> <br />FInSBED FLOOR ELEVATI05S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************..**.*****...************* <br /> <br />COIlTRACIOR SECI'ION <br /> <br />BUILDER COIIPANY <br />St:at:e Cert:. or Regist:. , <br />Signat:ure Cit:y License Regist:rat:ion , <br />************.*****..********************** <br /> <br />ELECTRICIAH COIIPA!IiY <br />St:at:e Cert. or Regist:. , <br />Si~ture City License Registration t <br />***********.**.........*........*..******************.* <br /> <br />PIJ:ItBER COIIPARY <br />St:ate Cert:. or Regist:. I <br />Signature City License Registrat:ion t <br />****...*...........t***.........tw..,...."''''...*........**....******* <br /> <br />flECBAlUCAL COIPA!IiY <br />St:at:e Cert:. or Regist:. t <br />Signature City License Registration t <br />***.**....*......*.*...**..*.....*........ <br /> <br />OT'IIF.R COIIPAlilY <br />St:at:e Cert:. or Regist:. , <br />Signature City LiceJlJLSe Registration , <br />...........***....*..~...............*.....*....**...********* <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />