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<br />AP"'1~ICATIOII FOR PERHIT <br />Cr~Y OF ZEHlIKHII.I,'s <br />BllIIIJ)llJC DEPAE'fIIEIn" <br /> <br />OWNER'S RAKE <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTIOlM: wr(S) <br /> <br />BI:.OCK <br /> <br />SUBDIVIsION <br /> <br />PARCEL I.D.' <br /> <br />WORK PROPOSED :_JSlew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_De.olish <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 />_Swill. Pool <br /> <br />Other <br /> <br />_Restaurant: &: Hea1th nepan:.ent Approval <br /> <br />BUILDIIiG SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COItKERCIAL : <br /> <br />ATTACH (2) PL.OI' PI.AJlS &: (2) SEI'S OF B1JIIJ)DiG PLMS &: (1) SET ENERGY FORKS. ** <br />ATI'AaI (3) SEI'S OF B1JIIJ)]]IG PLUlS &: (1) SET El!iER.GY FORttS.** <br />**COPY' OF COM'J"BAct RIlQIDIRIlD. <br /> <br />PI!'.RKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---.JfEaIAIiICAL <br /> <br />s <br /> <br />Valuation of Kecbanical Installation <br /> <br />_PLUKBIRG GAS HOOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _~ _Steel <br /> <br />Other <br /> <br />FIlIISBED FLOOR ELEVATIOIiS: <br /> <br />FI' . <br /> <br />IS PHOJEct IN FLOOD ZONE ARF..A? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COJn'RACIOR SECTION <br /> <br />S igoature <br /> <br />COIIPAIiY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />BIJTI.DF.R <br /> <br />ELECTRICIAIi <br /> <br />Siimature <br /> <br />COIIPARY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />PLOtIBER ~~ COIIPARY $~~.JI91l,LJ~~~(7 ~ <br /> <br />~State Cert. oQegist. t ,--Fc.- CZ "7 ~, <br />Signatur --c:) City License Registration f ~/ . <br />. ************ * *************************** ' <br /> <br />KEmAlfICAL COl!IPARY <br />State Cert. or Regist. 1= <br />Signature City ::'icense Registration , <br />****************************************** <br /> <br />0'T1IF.R COIIPAllIY <br />State Cert. or Regist. f <br />Signature City License Registration 1= <br />****.******.*********~*******************. <br /> <br />APPLICATIOIi APPROVIl'D BY PERKIT OFFICER. <br />