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<br />APPLICATIOtil FOR PERHIT <br />CI'IY OF ZEPIIYKHILLS <br />BmLDlliG DEPARnIE!'NT <br /> <br />OWNER'S NAHE <br /> <br />(}avJd fJ <br />3'g3L/t/ <br />SfI rn e <br /> <br />11l11~ 7;h~ <br />3 rcJ ;q.v <br /> <br />mmm <br /> <br />7 'i~d. - 73)5 <br /> <br />0WJiER. 'S ADDRESS <br /> <br />Z e p h Y J1 HJ ) /j <br /> <br />,;:=c <br /> <br />~;3S <.j / <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: wr(S)~ <t-:).... BI.OC:K J9 tJ StmDIVISION <br /> <br />PARCEL LD.' II - :J..b-/1J- 0010- I,gooo -0010 <br /> <br />IiORK PROPOSED: _~ew Construction _Addition _Alteration _Repair t/ Install <br /> _Sign _!!love _Deaolish <br />PROPOSED USE: Single Faaily _"IF _, of Units _M/H <br /> _<=<-ercial _Indust. _S.n... Pool 1arQ7e ~ther <br /> _Restaurant &: Bea1t:h Depart:aen1: Approval <br />BUILDING SIZE: 12 X 30. 3100 Square Feet. 10 fT Height <br /> <br />RESIDENTIAL: <br />COHItERCIAL : <br /> <br />ATTACH (2) PLOI' PLANS &: (2) SEI'S OF BmLDUiG PLiWS &: (1) SEI' ENERGY FORMS. ** <br />ATTACH (3) SETS OF BUTI..DDK; PLANS &: (1) SET ENERGY FORMS. ** <br />**COPV OF CONTRACT RIlQtlTIRED. <br /> <br />~UILDING <br /> <br />PERKIlS REOUESTED <br /> <br />$ <br /> <br />Valuation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECBMUCAL <br /> <br />$ <br /> <br />Valuation of Hecbanica1 Inst:allat:ion <br /> <br />_PLUMBING GAS <br /> <br />TYPE OF roNSTRUCTION: _Block <br /> <br />ROOFING <br />~ Pralle. _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />V'" <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COIM'I'RACTOR SECT'ION <br /> <br />BUILDER CDl!f!>>AJtfi <br />State Cert. or Regist:. 4# <br />Signature City License Registrat:ion , <br />****************************************** <br /> <br />ELECTRICIAN CO!IPANY <br />State Cert.. or Regist:. , <br />Si~at:ure City License Regist:rat:ion I <br />****************************************** <br /> <br />PLOKBER CU!lPAXY <br />St:ate Cert. or Regist.. , <br />Signature City License Registration I <br />****************************************** <br /> <br />KECHANICAL CU!lPANY <br />St:ate Cert. or Regist. , <br />Signature City License Registration I <br />****************************************** <br /> <br />OTRF.R CU!lPAJiff <br />Stat~ Cert. or Regist. , <br />Signature City License Regist:rationl <br />*********************~******************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />