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<br />APPLTCA'fION FOR PHR1IIIT <br />CITY OF ZEPIIl'RIIILLS <br />BllIILDIIlIG DRPAR'I1IfE1'i1T <br /> <br />OWNER · S NAME <br /> <br />if'ag% <br /> <br />'tree kfV~ <br />/7 / 9~5t:J <br /> <br />PHONE 7g ~ ~? () ;2... ~ <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br /><>' ?.:H 2F? f? <br /> <br />LEGAL DESCRIPl'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />WORK PROPOSED:_lSJew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_HO'\l'e <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_HID <br /> <br />_~rcial <br /> <br />__Indust. <br /> <br />_Swi..-. Pool <br /> <br />Other <br /> <br />_Restaurant & Hea1t:h Depart:.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cotmERCIAL : <br /> <br />ATTACH (2) PI.OI' PI..ANS & (2) SEIS OF BmLDIHG P:IJ\JiS & (1) SEI' ENERGY FORMS. u <br />ATTACH (3) SILTS OF BUllDDilG PJfAHS & (1) SEI' EHRRGY FORMS.** <br />**COPY OF CONTRAcr REQmRIlD. <br /> <br />PERl/fITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />_MECHANICAL <br /> <br />,. <br /> <br />AMP Service Florida Power COrp. <br /> <br />;;< Y S?Q ~ ValuaUon of Hechanical. Installation <br /> <br />W.R.E.C. <br /> <br />_PLlJHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fi:'3IIle _Steel <br /> <br />Other <br /> <br />FIlIfiSHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PRO..JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CO~CI'OR SECTION <br /> <br />BUILDER <br /> <br />COIIIi?MY <br />State Cert. or Regist. , <br />City Liceru:~ Registration , <br />**************************~*************** <br /> <br />Signature <br /> <br /> <br />Si <br /> <br />COIfPMY <br />State Cert. or Regist. , <br />City- License Registration <br />**************-ik:"....******************* <br /> <br />77?07~ <br /> <br />~ // .-L- <br />~~ <br />E/I~ <br />I # ~I <br /> <br />PIDtBER <br /> <br />KECllANICAL <br /> <br /> <br />CU!lP.OY <br />State Cert:. or Regist:. if# <br />City License Registration , 4I!I!l..- <br />*********************~******************** <br /> <br />lDIPMlY X?""~ C~o<:~ <br /> <br />State Cert:. or Reg - t:. , e rJ ~ <br />City License Registration j ~/ <br />*********************~******************* f <br /> <br />Signature <br /> <br />r- <br /> <br />Signature <br /> <br />011IER CO'IIPA:;W <br />State CerL. or Regist. if# <br />Signature City License Registration IF <br />*************~*********************.***..* <br /> <br />APPLICATION APPROVED BY PRRKIT OFFICER. <br />