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<br />APPLICATION FOR PERKIT <br />CI'IY OF ZEPIIYRHII.LS <br />BIJlILDIBG DRPAR'DIENT <br /> <br />\ \ \ <br />OWNER'S HAKE,<.e l 01 '7 ", Jl' vV\ ~ 't Y PHONE <br />~~:~=s ~": ~~~~~~~L[:\O- &411 <br /> <br /> <br />LEGAL DESCRIPTION: WI'(S) BLOClC_SUBDIVISION <br /> <br />~Iud) <br /> <br />Pf.\"i:>h,ol"\ <br />l:Sv~ <br /> <br />PARCEL I. D.' <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_l!Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, o:f Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_S~. Pool <br /> <br />Other <br /> <br />_Restaurant &: Hea1t:h ~t Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COKHERCIAL : <br /> <br />ATTACH (2) PLOT l'I..AliS &: (2) SETS OF BlJlILDllIG PLANS &: (1) SET ENERGY FORKS. ** <br />A'ITACH (3) SETS OF BUllDDilG l'I..AliS &: (1) SEI' ENERGY FOmtS.** <br />**mpy OF mNTRAGT REQUIRED. <br /> <br />PERKITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation o:f Total Construction <br /> <br />_ELECTRICAL <br /> <br />AItP Service <br /> <br />Florida Power Cbrp. <br /> <br />W.R.E.C. <br /> <br />_KECllANICAL <br /> <br />$ <br /> <br />Valuation o:f Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FraBe ___Steel <br /> <br />Other <br /> <br />FIIiISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PRO..JEC'f IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />cmaTRACIOR SECTION <br /> <br />BmT.DEI! <br /> <br />COKPANY <br />State Cert. or Regist. # <br />City License Registration # <br />**************************~*************** <br /> <br />Signature <br /> <br />:::~ ~ h m1IPAIOY MOifJd-I' 8<< rf-- 6-leJ <br />. State Cert. or Regist. i t::c .- 0 0 <:; 0 3 ;2 0 <br />Si ture . ~. R fA Y' of- City License Registration I <br />, ****************************************** <br /> <br />PLUKBER COKPMY <br />State Cert. or Regist. :j <br />Signature City' License Registration I <br />****************************************** <br /> <br />KECBAliICAL CO!tPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />O'TIIKR COKPARY <br />State Cert. or Regist. I <br />Signature City License Registration :j <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />