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<br />APFLICATION! FOR i'EmtIT <br />CITY OF ZEPHYP.HILLS <br />BillWUiG DEPAKIHE'NT <br /> <br />OWNER · S NAME <br /> <br />PDO~E <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOI'(S) <br /> <br />BL.OCK <br /> <br />SUBDIVISION! <br /> <br />PARCEL 1. D.I <br /> <br />WORK PROPOSED:_llew Construction ~ition _Mt.eration _Repair _Inst.all <br /> <br />_Sign <br /> <br />_Move <br /> <br />_ne.olish <br /> <br />PROPOSED USE: <br /> <br />Single F3IIIily <br /> <br />_KIF <br /> <br />_, of Unit.s <br /> <br />_"-IH <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Sri.-. Pool <br /> <br />Other <br /> <br />_Restaurant. &- Health Depar~t. Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT l'I...MiS &- (2) SEIS OF BUILDIN!G PUNlS &- (I) SET ENERGY FORM.'>. ** <br />ATTACH (3) SEIS OF BUILDllilG l'I...MiS &- (1) SET ENERGY FORMS. ** <br />**COPI' OF CONTRACT REQUIRED. <br /> <br />PEmlITS REQUESTED <br /> <br />_BUIIJ>ING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />_Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECHMUCAL <br /> <br />$ <br /> <br />Valuation of Hechanica~ Inst.allation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fra.e _St.eel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />***********************~*~**************** <br /> <br />COnRACI'OR SECT'IOI!i <br /> <br />BUILDER CD!'IPANY <br />State Cert.. or Regist.. , <br />Signat.ure City License Regist.rat.ion , <br />********..*..""*""**.***,,,,,*,******************** <br /> <br />ELECTRICIAN COIfPANY_ <br />Stat.e Cert.. or Regist.. , <br />Si2B3t.ure City License Regist.rat.ion I <br />.*.******....*******.**.****.********** <br /> <br />PLUKBER CO'IIPANY /I Jv€ Ttlll,j3' s7' ~~I U ~ L ;;1 J3; /1/ b <br />St:at.~ Gel t:. or Regist.. 1# ~OO~<I)20 78'" <br />Signat.ure C (', _r" Cit::y License l{egist.rat..io~ I /<;() <br />***...*.**...*...**.*~******.************* <br /> <br /> <br />MECHANICAL COIfPANY <br />Stat.e Cert.. or Regist.. , <br />Signature City License Regist.rat.ion , <br />.*..-I:***-I:-I:**-I:-I:-I:-I:.*-I:***~.*.*.-I:.*-I:********** <br /> <br />01'1IER cmtPARY <br />St.at.e Cert.. or Regist. , <br />Signature City License Regist.rat.ion j <br />**-1:***-1:-1:*-1:-1:-1:-1:-1:-1:-1:-1:-1:*-1:*-1:..****-1:************* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />