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<br />.. <br /> <br />APPLICATIOllil FOR PERHIT <br />CI'IY OF ZEP.IlYRIIILLS <br />BUILDIlliIG DEPAR1'HElliIT <br /> <br />OWNER'S NAKE <br /> <br />t./kcfJ'f- Re~ / <br />,jJ 9/ V C c< /{~ /(1 I~ l-i! <br /> <br />\17.50 Cu~( s{~c/ <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: WI'(S) <br /> <br />J () Z /( <br />BLOCK SUBDIVISIO~ <br /> <br />PARCEL I. D . # // .J e" <br /> <br />..?-/ 0'0/0 <br /> <br />002 DO <br /> <br />rJc) / 0 <br /> <br />l."ORK PROPOSED :_!!iI'ev Construction -.-J\ddition -.LAlteration _Repair _Ins tall <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 />_H/H <br /> <br />~COBIIercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Departaent Approval <br />BUILDING SIZE: .) J X t ,,) J <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOI' PI..tUlS & (2) SEI'S. ,'oF ~WLDING PI..i\NS & (1) SET ENERGY FORHS. ** <br />ATTACH (3) SETS OF BUILDDlG PI..tUlS & (1) SET ENERGY FORKS.'u <br />~~COPY OF CONTRACT REQ[MIRED. <br /> <br />_BUILDING <br /> <br />$ -J,DU <br /> <br />ceO <br /> <br />PEKKITS REOUF_<;TED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Hechanica~ Installation <br /> <br />_PLllHBING <br /> <br />GAS <br /> <br />ROOFIJNG <br /> <br />SPECL"'-LTY <br /> <br />TYPE OF CONSTRUCTION!: _Block <br /> <br />_Fr~ _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR EI.EVATImIlS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZO~E ARE..~? <br /> <br />// <br />~ <br /> <br />'YES NO <br /> <br />~~~~~~~**~***********~~***~****~~*~**~***~ <br /> <br />RUILDY.R <br /> <br />COllilTRACl"OR SECTION <br /> <br />CUlfPMIi 1 (; 0 tLP 0,... ,;e "-f <br />J j '''7 ~ State Cert:. or Regist. 4# <br />~ ~ City License Registration <br />***~************************************** <br /> <br />-<<IV" ,/ <br />c (; C f9 </3 V 2-].. <br />!It I/O <br /> <br />Signature <br /> <br />RT.ECTRICIAN <br /> <br /> <br />COHPANY <br />State Cert. or Regist. # <br />City License Registration f <br />****************************************** <br /> <br />5i <br /> <br />'7 <br /> <br />PLUKBER CO!fPANY <br />State Cert. or Regist. # <br />Signature City License Registration f <br />************************************~***** <br /> <br />PfECR;\NTCAL CO'IfPANY <br />State Cert. or Regist:. :f <br />Signature City License Registration I <br />**********************~*~*****~******~**~* <br /> <br />OTHER COHPARY <br />State Cert. or Regist. 4# <br />Signature City License Registration M <br />**********~******************************* <br /> <br />APPLICATION APPRO\I'ED BY PER..~T OFFICER. <br />