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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRIIll.LS <br />B1JJIJLDIBG DEPARnDrNT <br /> <br />OWER'S <br /> <br /> <br />mONE <br /> <br />OWNER. ' S <br /> <br />JOB ADD <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.I <br /> <br />WORK PROPOSED:_lNlew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Fanily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Rest:alllrant & Hea1th Departaent Approval <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT PLAJlS & (2) SETS OF BlJlII..DIlN1G PLMS & (1) SEt' ENERGY FORKS, ** <br />ATTACH (3) SETS OF BUILDlllG PLMS & (1) SEt' ENERGY FORKS. ** <br />**copv OF CONTRACT RE'Qm:RIlD. <br /> <br />.. <br /> <br />PEmlIlS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construc'tion <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllMITCAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOl!il: _Block <br /> <br />_Fnme _Steel <br /> <br />Other <br /> <br />FIl!ilISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS P.ROJECT IN FLOOD ZOlN1E AREA? <br /> <br />'YES NO <br /> <br />************.********..******************* <br /> <br />BUILDER <br /> <br /> <br />CO!tPMaY <br />State Ce L <br />City License Registrat10n <br />****.***.....***.****.*****.********** <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COIfPMiY <br />State Cert. or Regist. I <br />City License Registration # <br />****************************************** <br /> <br />SiP-Oature <br /> <br />PLmtBER <br /> <br />COIIPMiY <br />State CerL or RegisL #f: <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />KEC'IIAIflCAL <br /> <br /><D'!IPMiY <br />State CerL or RegisL ,I <br />City License Registration I <br />****.***********.************************* <br /> <br />Signature <br /> <br />01'HER <br /> <br />COPIPMiY <br />State Cert. or Regist. #f: <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />'-ff(UfU',,~ .~ UJj"JM'Y <br /> <br />PERHIT OFFICER, <br />