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<br />A.PPLLCATIOII FOR PHRKIT <br />CI'IY OF ZIl:PHIKH II"T.~ <br />BUII.DDiG J)EPARIIIEIn' <br /> <br />JOB ADDRESS <br /> <br /> <br />OWNER'S MAKE <br /> <br />OWNER'S ADDRESS <br /> <br />LEGAL DFSCIUPl'IOlI: 1DI'(S) <br /> <br />PARCEL I.D.t <br /> <br />WORK PROPOSED: ~ev Construction _Addition _Alteration _Repair _Install <br /> <br />S. <br />- 19D. <br /> <br />_Move <br /> <br />_ne.olish <br /> <br />PROPOSED USE: VS-ingle Faaily <br /> <br />_"IF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Restaurant &: Bea1t:h nepan:.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COttKERCIAL : <br /> <br />ATTACH (2) PLOI' PLAIIS &: (2) SEI'S OF BUlLDUiG PLANS &: (1) SEI' ENERGY FORKS. ** <br />ATTACH (3) SEI'S OF BUII.DDiG PLAIIS &: (1) SEI' ENERGY FORKS. ** <br />**COPT OF CORTRACf ~m:RED. <br /> <br />PEmlITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Tot:a1 Construction <br /> <br />_ELECI'RICAL <br /> <br />AIIP Service <br /> <br />Florida Power COrp. <br /> <br />"...,-; <br />W.R.E.C. <br /> <br />_KEGllAlITCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Inst:allation <br /> <br />_PLUKBIBG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Pralle _Steel <br /> <br />.. <br /> <br />Other <br /> <br />FIliISBED FLOOR KLEVATIOBS: <br /> <br />FT. <br /> <br />IS PKOJECf Di FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br /><DrI'KAClUR SEcrION <br /> <br />BUTTJlER ~ W!tPANYW.O.I\G.JIY\OV,J ._ <br />11 \ 0 State Cert. or Regist. , D<J2,u g. yz- <br />Signature lAJ, _ City License Regist:.ration :f ~ <br />**************************~~********~***** <br />J I- <br />I - 17 ("/'/' <br />W!tPARY, 'A- //."<:...--:~ // '- <- -{ ( -< ,,< '. 'k::::, L /2 (' <br />State Cert:. or Regist." t' C /"~I I /../ / <br />/J ((f:-- City License Registration I /' ( (, <br />****************************************** <br /> <br />ELECI'RICIAll . I <br />I <br />Si...n::lt:ure ',/ _L~'12 <.. <br /> <br /><- ...., --,- <br /> <br />c._/~' <br /> <br />~A <br /> <br />PLlJItBER <br /> <br /> <br />CDlPARY u,{}~ld^ fJJ,,~ j/~7 <br />State Cert. or Kegist:. . <br />City License Registration I / ;J...S- <br />* *************************...*~++~~~~~*** <br /> <br />Signature <br /> <br />W!tPARY ~1-.vS"J //i-'JII-~;'- <br />State Cert. or Re . st. t <br />City License Registration t 7/ <br />****************************************** ~, <br /> <br />CO!IPMIY ~ - <br />State Cert. egist. , <br />City Lic e egistration I <br />************************* ************** <br /> <br />KECBAlfICAL <br /> <br />Signature <br /> <br />S ignat:ure <br /> <br /> <br />OT'IIRR <br /> <br />APPLICATION APPROVED BY <br /> <br />/YaM~~ ~'/l...T7~)- <br /> <br />PERKIT OFFICER. <br />