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<br />?- <br /> <br />APPLICATIOOO }"'Oltt i"j'~mrrT <br />CI'IY OF ZE:P;BiTP.lHU S <br />BmLDIOOG DEP/,R"f1Nr~~,T <br /> <br />OWNER' S MAKE <br /> <br />PlIONlE <br /> <br />OWKER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: Wf(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D." <br /> <br />IOORK PROPOSED:_Nev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: <br /> <br />Sing].e Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_ResUurant & Bea1t:h ~t Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~re Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cottKERCIAL : <br /> <br />ATTACH (2) PLOI' PLOS & (2) SEI'S OF BUTI.DING PLANS & (1) SET ENERGY FORMS. U <br />ATTACH (3) SEI'S OF BUIIJ)llJIG PLOS & (1) SET ENERGY FORKS. ** <br />**COPY OF CONTRACT RE(lill'RED. <br /> <br />PElMITS RF.oUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Va1uation of Tota1 Construct.ion <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />__Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHARICAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_FraIIe _Steel <br /> <br />Other <br /> <br />FlIISBED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PRO.JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*****....***....*.....,.......'dl-*....................*............**........******....***:t<'* <br /> <br />COI8lTKACIOR SECTION <br /> <br />Signature <br /> <br />CO!tPMW <br />State Cert. or Regist. #f <br />City License Registration #f <br />***........**....................*....****............****....*********....***....** <br /> <br />BUILDER <br /> <br />ELECTRICIAH <br />lU <br />SiJroature ..r <br /> <br />~ COHPANY Moraan & Burt Electric Co.. <br />~ State CerL. or Regist. #f Frnnnn1?n <br />" City License Registration I 244 <br />*....*.............*........................***............................................................********** <br /> <br />Inc. <br /> <br />PL1JlKBER CDKPAINJY <br />5t:at:e CerL or Regist:. :J# <br />Signature G:it::y l.:iceu::,~ R('.gist..:;:,\!:-E-m , <br />*....*................*............*.........w....................*~....*****....************ <br /> <br />HECllAHICAL COIiPM!IY <br />State Cert. or Reg:ist. I <br />Signature City License Registration I <br />******....**....***....~~*....*................*****........********....*** <br /> <br />OTHER CO'!IPM',"Y <br />State Cert. or Regist. :J# <br />Signature City License Registration I <br />............****....*........****....***............*....*******....********** <br /> <br />APPLICAnON APPROVED BY PERKIT OFFICER. <br />