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<br />APPLTCAnO~ FOR PERHTT <br />CITY OF ZEPBYlUULLS <br />BUTILDHDG DE:PARYKE:~ <br /> <br />OWNER'S NAME ~y yL ~~Df--( <br />OWNER'S ADDRESS ..:l f? ~/ c. R. j/ t( E R" 2- <br />JOB ADDRESS ~~e <br /> <br />,.-/ <br />PIIONE R/J - 7Yvl - ?3>J <br />/" <br />C-o;r-/./ ! <br /> <br />LEGAL DESCRIPTION: WI'(S) <br /> <br />BLOCK <br /> <br />S(])BDIVISIO~ <br /> <br />PARCEL I. D. # <br /> <br />WORK PROPOSED:_!II!ew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_MID <br /> <br />_CoBaercia1 <br /> <br />_IndUlSt. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant & Bea1t:h Depart8ent Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMHERClAL : <br /> <br />ATTACH (2) PLOT PL.AIIS & (2) SEI'S OF BUILDING PL.,MS & (1) SET ENERGY FORMS. U <br />ATTACH (3) SEI'S OF BlITLDllilG PLMS &: (1) SET ~ERGY FO&'I{S.~~ <br />~~COPY OF CONTRACT REQIUflRED. <br /> <br />PEmlITS REQUE.':;TED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Va1uation of Tota1 Const.ruction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Va1uation of Hechanica.l Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: _Block <br /> <br />_FraJlle _Steel <br /> <br />Other <br /> <br />FII!fiSHED FLOOR EI.EVATIONS: <br /> <br />FT . <br /> <br />IS PROJECT IN FLOOD ZONE ARR~? <br /> <br />YES NO <br /> <br />~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ <br /> <br />CDNTRACTOR SECT'ION <br /> <br />Signature <br /> <br />CDIIfPMIIY <br />State Cert. or Regist. * <br />City License Registration # <br />~~~~~~~~~~*~.~*.*~~~....~..~...~.*..**.~.~ <br /> <br />BUILDER <br /> <br />YSi <br /> <br /> <br />OO'IIPMff O~ <br />State Cert. or Regist. # <br />City License Registration I <br />.*......~...~**.*.*..*********.*.~.*.~***~ <br /> <br />Signa ture <br /> <br />CO!IPANY <br />S t:a te Cert. or Regis t:. 1# <br />Cit-y J.ic:ensf" Registration ## <br />*******.*.*....*...***.****.*..*.*.***~*** <br /> <br />KECll.i\NlCAL <br /> <br />Signature <br /> <br />COlIPMn <br />State Cert. or Regist. , <br />Cit:y License Registration j <br />~~*****..*...***.****.******..*********~~* <br /> <br />0T1IER <br /> <br />Signature <br /> <br />cmtPANY <br />State Cert. or Regist. , <br />City License Registration , <br />*..*.*..~**************..*.*******~*.****~ <br /> <br />APPLICATION APPROVF~ BY <br /> <br />PERMIT OFFICER. <br />