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<br />APPLICATIOIN1 POl'< PERKIT <br />GI'lYOFZEPIIYRHILI..S <br />BUILDING DEPAR'I1PIEXr <br /> <br />OWNER'S MAKE EJ/9 ~.4/eR maNE 7e.;z- e557 <br />OWNER'S ADDRESS 38,,1~h -POA./Wr!JCJ/ /%~e 2'j1"6y';{if4-. ~ 3J.SY/ <br />;' J <br />JOB ADDRESS Jl!;J~6 ..z;.O/VWOOc/ /'hee 2'YA~Y,0~} /4, 3'..J'0-Y/ <br />LEGAL DESCRIPTION: I.01'(S) ~SUBDIVISION /7"e/rrWt!'JO/ <br /> <br />PARCEL 1. D. # <br /> <br />WURK PROPOSED:_lN1ew Construction _AdditiOfi _Alteration _Repair ~Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />__ne.o~ish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~rcial. <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &: Hea1.t.:h Deparu.en1: Approval. <br /> <br />BUILDIXG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />GOHKERCIAL : <br /> <br />A'l'TACH (2) PLOT PI.ANS &: (2) SEIS OF BUILDIIiG PLANS & (1) SET ENERGY FORKS. u <br />A'l'TAaI (3) SETS OF BmLDDG PI.ANS & (1) SEI' mmRGY FORKS. ** <br />**COPT OF C01!iTRACT REQUIlUlD. <br /> <br />PERI!IlTS REOlJESTRD <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Val.uation of Total. Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.G. <br /> <br />--L.JtEawuCAL <br /> <br />$ <br /> <br />~coo <br /> <br />Val.uation of Mechanical. Installation <br /> <br />_PLmfBllIG GAS ROOFBiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _F'raIIe _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOIN1S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />COIlI'RACIOR SECTION <br /> <br />BUILDER <br /> <br />CUllPAHY <br />State Cert. or Regist. 4t <br />Ci~ License Registration 4t <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />';(J!fpMU <br />State Cert. or Regist. , <br />Ci~ License Registration I <br />****************************************** <br /> <br />Sil!fl.3ture <br /> <br />PLDtBER <br /> <br />COlIPA1!iY <br />State Cert. or Regist. , <br />City License Registration I <br />********..************~******************* <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />CUllPMY S,:~eR/o,,;, /4n~ .,fuc7'" C"'coP'~ 4~ f~ <br />~c::;"" ~ State Cert. or Regist. I CACCJ ~?;Z7/ <br />, City License Registration I <br />** ************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />CUllPAJfi <br />State Cert. or Regist. , <br />Ci~ License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION API'IlOVED BY 11 ~ Sxt.P/UJ\/li <br /> <br />PERKIT OFFICER. <br />