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<br />APPLICATIOI!IJ POT< PEmtIT <br />CITY OF ZEPlffRHILLS <br />BlITLDUIG DEPARlKENT <br /> <br />OWER' S <br /> <br />MAKE .111 J)/l;" Cl L ~ r <br />ADDRESS .sTs~.3 c)Gi-cL <br /> <br />., <br /> <br />o (?W/V{ .5 <br /> <br />OWNER. · S <br /> <br />LI4 w C- <br /> <br />2~/~~f /;;/0-, <br />~..L~~ y.e ii/A <br /> <br />PIIONE [j1.J '7?D-~7ql <br />3->sYf <br /> <br />, F~ .130"'1 { <br />I <br /> <br />A <br /> <br />JOB ADDRESS .s S" S' ..3 <br /> <br />o u.. (L /.... t:JN ~ <br /> <br />LEGAL DESCRIPTION: WT(S) <br />PARCEL LD.I / CJ - :;;'6 -d.-/- I <br /> <br />BI..OCK <br /> <br />SUBDIVISION <br /> <br />WRK PROPOSED:_lN/ev Construction _Addition _Alteration _Repair ~Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />_K/H <br />!3a-rh 2DD~ Other <br /> <br />_~rcial <br /> <br />_T..w.idust. <br /> <br />_SWI... Pool <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAI. : <br /> <br />ATTACH (2) PLOI' PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET E'NERGY FORKS. u <br />ATTACH (3) SETS OF BUILDING PUNS &: (1) SET ENERGY FORKS. ** <br />**COPY OF CONTRACT REQIJJ1'RED. <br /> <br />PElmITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Tot:al Construct.ion <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuatiofi of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOlN/: _Block. _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOlNlS: <br /> <br />FI' . <br /> <br />IS PRO..JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COl!il'i'RACYOR SECTION <br /> <br />BUILD~ <br />Signature .Jf./i. <br /> <br />COKPMY <br />Q Q. f. State Cert. or Regist. 4# <br />'--'II ~ City License Registration 4# <br />***** **********~************************* <br /> <br />ELECTRICIAN <br />S i1m3 ture.J-f Z. <br /> <br />Q CO!IPMY <br />.--- . ri L State Cert. or Regist. 4# <br />( rYe City License Registration' <br />*****~*********************************** <br /> <br />PLUKBER <br /> <br />~ ~ COKPDY me(4 ee. (5 PL ~.......t i~ <br />. , , State Cert. o~Regist. 4# <br />/-..ftt2..12./e. vu. ~etL City License Registration I '9,(.!1~ <br />***~************************************* <br /> <br />~ <br /> <br />Signature <br /> <br />13b <br /> <br />MECHANICAL cmtPMif' <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />01'HER CO'!IPMH <br />State Vert. or Regist. J <br />Signature Ci~ ~icense Registration , <br />****************************************** <br /> <br />APPLICATION' APPROVED BY PERKIT OFFICER. <br />