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<br />.._.-........,;;.;.,0-'0-,"'"'....,.__.__. L";-;_II.'I'..,>'~I.;....-~___...._ <br /> <br />APPLICATIOlil FOR PERKIT <br />CI'IY OF ZEPIIYKIIILL.S <br />BmI.DTIIC DEPA.'RDtEXT <br /> <br />OWNER'S BAKE <br /> <br /> <br />a~/{ ~ <br /> <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: WI'(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f <br /> <br />WORK PROPOSED:_5ew C<<mstruction --.J\ddition ~_Alteration _Repair _Install <br /> <br /> _Sign _Move _De801ish <br />PROPOSED USE: Sing1e Faai1y _KIF _' of Units <br /> _~rcia1 _Indust. _Swill. Poo1 <br /> _Restaurant &: Hea1t:h Depart:aent Approva1 <br />BuiLDING SIZE: X .~fg rp ~e Feet, <br /> <br />_K/H <br />fi ~ _ Other <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cotmERCIAL : <br /> <br />A'ITACH (2) PI.Ol' l'UUiS &: (2) SEI'S OF BUll.DDfG PLWS &: (1) SEI' ENERGY FORKS. ** <br />ATTACH (3) SETS OF B1ITI..DDiG l'UUiS &: (1) SEI' ENERGY FORKS.** <br />**copy OF CONTRACT BEQtrrRIlD. <br /> <br />PERKITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Va1uation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />F10rida Power Qlrp. <br /> <br />W.R.E.C. <br /> <br />_H.ECIIAIUCAL <br /> <br />$ <br /> <br />Va1uation of Hechanica1 Installation <br /> <br />_PLUMBIBG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.. <br /> <br />TYPE OF CONSTRUCTION: _B1ock _Pralle _Stee1 <br /> <br />Other <br /> <br />FIIiISHED FLOOR ELEVATI05S: <br /> <br />FI' . <br /> <br />IS PROJECT DI FLOOD ZOHE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUIlJ)ER . <br />Signatur~--,\. ~ C. <br /> <br />***** <br /> <br /> <br />mRrRA~ SE~ <br />OO1fPANY . ~ ~L~ <br /> <br />State Cert. or Regist. I <br />City License Registration' .3'/ S-- <br />********************************* <br /> <br />ELECTRICIAN COlIPANY <br />State Cert. or Regist. I <br />Sivnature City License Registration I <br />****************************************** <br /> <br />PLUKBER OO1fPMY <br />State Cert:. or Regist. I <br />Signature City License Registration f <br />*********************~~~Z~***S**:****~*~** <br /> <br />KECHAlUCAL COlIPMiY <br />State Cert:. or Regist. f <br />Signature City License Registration I <br />****************************************** <br /> <br />OTHER 001fPA!iY <br />State Cert:. or Regist:. I <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />