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<br />APPLICATIOJ!ilJ FOR PHRlIfiT <br />CITY OF ZEPBl'FHILLS <br />SlITUlDiG DEPARDtmiJT <br /> <br />OWNER' S MAKE <br /> <br />PHORE <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTI08: LOT(S) <br /> <br />BLOC'K <br /> <br />SUBDIVISIOII <br /> <br />PARCEL I. D. t <br /> <br />WORK PROPOSED:_lIev C'.onStruction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of "Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant 5: Health ~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cottKERCIAL : <br /> <br />A1TACH (2) PLOI' ~s 5: (2) SEI'S OF BUIIJ)IliG PLUS 5: (1) SET ENERGY FORKS. U <br />ATTACH (3) SEI'S OF BUllDDiG .PLUS 5: (1) SET EJ!ilJER.GY FORKS. ** <br />**con OF COrnRACT REQUIlUID. <br /> <br />PERKITS REOUESTED <br /> <br />(..,I.-l <br /> <br />~BUILDIHG <br /> <br />$ <br /> <br />;;J. 3U6 <br /> <br />valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power cO,rp. <br /> <br />W.R.E.C. <br /> <br />_KECIIAIf.lCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBIHG GAS ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _~ _Steel <br /> <br />Of'her <br /> <br />, FTInSHED FLOOR ELEVATIOl!iS: <br /> <br />FI'. <br /> <br />IS PROJECT III FLOOD ZOIiE AREA? <br /> <br />YES NO <br /> <br />********~********************************* <br /> <br />mftD'RACIOR SECTION <br /> <br />BUILDER aJ!fPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />ELECTRICIAN aJ!fPABY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />PLOKBER aJ!fPARY <br />State Cert:. or Regist:. I <br />Signature City License Registration I <br />****************************************** <br /> <br />KECllARICAL COl!IPAMY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />********~********************************* <br /># <br />/ <br /> <br />011IER. aJ!fPANY <br />State Cert or Re St:. I <br />Signature City License Registration <br />************************************ <br /> <br /> <br /> <br />APPLICATION APPROVED BY PERKlT OFFICER. <br />