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<br />APPLICATIO~ FOR PERMIT <br />CITY OF ZEPllYRlnLLS <br />BUfILDl1!iG DEPARTl'IEm <br /> <br />OWER' S NAME <br /> <br /> <br />mONE: <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />T.EGAL DESCRIPTION: IDl(S) <br /> <br />BL.OCK <br /> <br />,iUJBDI\"ISION <br /> <br />I}/ ~iTl~S; <br /> <br />PARCEL LD.I <br /> <br />WORK PROPOSED: k.-.Xew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />_DeJIOHsh <br /> <br />PROPOSED USE: Single F3IIIil}" <br /> <br />_KIF <br /> <br />_* of tJ'Jnits <br /> <br />_HID <br /> <br />4.4/ V/;, U/4f:"e r <br /> <br />_CoIaercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Restaurant & Health Depar1:llent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />ATTACH (2) PLot PI.ANS & (2) SEIS OF BUILDING PLA1!iS & (1) SET ENERGY FORMS. U <br />ATTACH (3) SETS OF BUILDING PI.ANS & (1) SET ENERGY FORKS. ** <br />uCOpy OF C01!iTRACT REQUIl'RIID. <br /> <br />r tlJ tL. <br /> <br />PERKITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Val.uation of Total. Cmlst:ruction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power COrp. <br /> <br />_W.R.E.G. <br /> <br />_HEGllANIGAL <br /> <br />s <br /> <br />Val.uation of Hechanica~ Installation <br /> <br />_PUJHBING <br /> <br />GAS <br /> <br />ROOFI1!iG <br /> <br />SPECL>UTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fr3llle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR EL.EVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARE."? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />mNnlACTOR s~ ' <br /> <br />~~ ~~/~~~~ <br />State Cert. or Regist. , <br />Ci~ License Registration # ~/~ <br />**************************** <br /> <br />BUILDER <br /> <br /> <br />Signatur <br /> <br />ELECTRICIAN <br /> <br />aJilIPAHY <br />State Gert. or Regist. i <br />Ci~ License Registration I <br />****************************************** <br /> <br />Si!m3ture <br /> <br />PUJlKBER <br /> <br />CDMPMilY <br />State Cert. or Regis~. I <br />City License Registration I <br />****************************************** <br /> <br />S igoa ture <br /> <br />KECllANICAL <br /> <br />CO'lIPAHY <br />State Cert. or Regist. , <br />City License Registration # <br />**********************T******************* <br /> <br />Signature <br /> <br />OTHER <br /> <br />COlfPAHY <br />State Cert. or Regist. , <br />Ci~ License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />