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<br />'~'._'. ..~" k~ .~'o~ . '_'''__ .~..__ '"".n, <br /> <br />""..-,"" <br /> <br />- <br /> <br />.. ' <br /> <br />APPLICATI05 FOR PERI/'lIT <br />CITY OF ZEPJIYRllllLS <br />BUILDI5G DEP~HE!i'T <br /> <br />OWNER'S NAKE L.JM f5 II- f'12- P110NE <br />OWNER'S ADDRESS vu(Y1 Bit-pI<.. sO-At.{ S 6 ~'-1 /11/-e.... <br />JOB ADDRESS !:> ~ f. '-15 b -th ;1v~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />B.L.OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D .1 <br /> <br />IOORK PROPOSED:_Miew Construction _Addition _Alteration ~Repair _Install <br /> <br />_Sign <br /> <br />_l!fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Fanily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_H/H <br /> <br />_eo-ercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Departlllent 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 P!...MiS &: (2) SEI'S OF BUILDING PI...OS &: (1) SET ENERGY FORMS. ** <br />ATTACH (3) SEI'S OF BUILDIJIilG PLANS &: (1) SET EOOERGY FORJ.~S.** <br />**COPY OF CONrRACl" REQm:RJID. <br /> <br />PERK Its REOUP_'iTED <br /> <br />_BUILDING <br /> <br />$ <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 />~UKBING <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: _Block <br /> <br />_Fr~ _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIm~.S: <br /> <br />FT. <br /> <br />IS PRO.JECT IN FLOOD ZONE ARE..\? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COlln'RACTOR SECTION <br /> <br />COI!fPAHY <br />St:ate Cert. or Regist. 4# <br />City License Registration 4# <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Sismature <br /> <br />CO'!IPANY <br />State Cert. or Regist. 4# <br />City License Registration # <br />****************************************** <br /> <br />RT..ECTRICTAN <br /> <br />PT,UKBER <br /> <br />:t . COlfPAOtY CoP{ I'/l PI V~.6/1- <br /> <br />~ SL.ci.<:-€- Gc~:;~ ~-;:: Rebi~t. i# <br />tu<.f ~ City J"icense Registration <br />****************************************** <br /> <br />Signature <br /> <br />CO!IPANY <br />State Cert. or Regist. # <br />City License Registration I <br />*"''''***************'''***********''''''********** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COlfPANY <br />State Cert. or Regist. j <br />Cit,y License Registration # <br />.********************.***.**...*.***..*.*. <br /> <br />OTIJER. <br /> <br />Signa ture <br /> <br />APPLICATION APPROVED BY <br /> <br />PERJ."fiT OFFICER. <br />