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<br />APPLICATIOB FOR PERKIT <br />CITY OF ZEPHYlmIJ,LS <br />BUllDIIiG DEPARnD!:Irr <br /> <br />OWNER · S HAIlE <br /> <br />R/1e('re~j, ,/Jt",du~8E~ <br />2() I #fEJSS:. pOYV\ . 4!e();~ <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAl. DESCRIPTICW: LOT(S) <br /> <br />RT,OCI( <br /> <br />SUBDIVISIOB <br /> <br />PARCEL I. D. t <br /> <br />WORK PROPOSED:_Bev Construction _Addition _Alteration _Repair _Install <br /> <br />S' <br />- 19D. <br /> <br />_Move <br /> <br />_DeIIolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />, of Units _K/H <br /> <br />_s..;.. Pool ~~, Other <br />M.:.d . <br />Approval <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Restaurant &: Hea1t:h ~t <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />-------. <br />Height <br /> <br />_ RESIDENTIAL: <br />COHttERCIAL : <br /> <br />ATTACH (2) PLOr l'IAI1S &: (2) SEI'S OF BUILDING PLUS &: (1) SEt' RNERGY FORKS. ** <br />AlTACH (3) SEI'S OF BUllDDilG PLUS &: (1) SET EXERGY FORKS. ** <br />**COPY OF COBTRAC'f 1UlJ:!m:RED. <br /> <br />PEHI!IITS REOUF.."iTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Tot:a1 Constru.ct:ion <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlUCAL $ <br />~PLUKBING GAS <br />TYPE OF CONSTRUCTION: _Block. <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFTIiG <br /> <br />SPECIALTY <br /> <br />_FraIIe _Steel <br /> <br />Ot:.her <br /> <br />FHfISHED FLOOR EI.EVATIOBS: <br /> <br />FI' . <br /> <br />IS PRO.JECT HI FLOOD ZONE AREA? <br /> <br />******************~********************** <br /> <br />YES NO <br /> <br />COrD'HACIOR SECTION <br /> <br />BIITTJlER <br /> <br />COIIPANY <br />State Cert:. or Regist:. I <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COIIPAIIY <br />St:ate Cert:. or Regist:. , <br />City License Registration I <br />~~......***..*.....:::::::**..*........*.... <br /> <br /> <br />State Cert:. or Hegist:. f: <br />~ City License Registration <br />. . .......................................... <br /> <br />SiPn~ture <br /> <br />PLOttBER <br /> <br />Signature <br /> <br />I -...L z...~- <br /> <br />IfECHAlUCAL COIIPMY <br />State Cert:. or Regist:. I <br />Signature City License Registration I <br />*************~~************************** <br /> <br />omF.R COIIPANY <br />State Cert:. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />. APPLICATION APPROVED BY PEHKIT OFFICER. <br />