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<br />APPLlCATION FOR PiOOilT <br />CITY OF ZEPlffKlLtTUS <br />BUIIJlDIG DEPAKI!ff1m <br /> <br />OWNER'S RAKE 6eC>lZfY-~tU< <br />OWNER'S ADDRESS~/I ~=??f)~ <br />JOB ADDRESS S;:;me: <br /> <br />PIlOn <br /> <br />(filM/'! 6e, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />B~SUBDIVISION <br /> <br />PARCEL LD.f d- d& -;1/- OO/(J - 60r)r'J() - D /~ <br /> <br />KORK PROPOSED:_5ev Construction .--.Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_l!Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_"IF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_S,"-. Pool <br /> <br />other <br /> <br />_Restaurant &: Health Depart:aent: Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />. RESIDENTIAL: <br />cottKERCIAL : <br /> <br />ATTACH (2) PLOt' PI.MlS &: (2) SEIS OF BUILDING PI..!U1S &: (1) SET RNERGY FORKS. ** <br />ATTACH (3) SEIS OF BUTI.DlliG PLMS ~ (1) SKI' ENERGY FORKS. ** <br />**COFY OF CONTKACT BIlQUIRIlD. <br /> <br />PERKITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />I. S7)() _ iX) <br /> <br />, <br /> <br />Valuation of Tota1 Construction <br /> <br />_ELECI'RICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KEGllAHICAL <br /> <br />$ <br /> <br />Valuation vf Hechanica1 Installation <br /> <br />_PLUKBING GAS KOOFTIIiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOIiI: _Block _FraIIe _Steel <br /> <br />Other <br /> <br />FlliISBED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PItU.JECI' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />***********~****************************** <br /> <br />CDftiI'I'RACIOR SECTION <br /> <br />Signature <br /> <br />~" ~o~ ~ <br /> <br />CO!IPBY Bi--. <br />State Cert:. or Regi ., <br />City License Registration <br />****************************************** <br /> <br /> <br />BUILDER <br /> <br />,>...~ '"'- i ,. "". <br /> <br />, <br /> <br />CO!IPMIY__ <br />State Cert. or Regist. , <br />City License Beg~~Qtion I <br />****************************************** <br /> <br />ELECI'RICI.AN <br /> <br />SiPn;tture <br /> <br />". ; <br /> <br />PUltBER <br /> <br />: t'''-'. "l' "'~ ... <br />. <br />~., ".,.1,,'" <br /> <br />'. <br /> <br />CO!IPOY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature", <br /> <br /><; \, "\ ,,>0, <br />r . .. ..~ ';U _6'" ". " <br />. ".,~,.. . ~ , <br />.', .-} <br /> <br />KEClJAliICAL CO!IPMY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />011IER CO!IPANY <br />State Cert. or Regist. :/It <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />