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<br />APPLICATIOl!ll FOR PHRHIT <br />CI'IY OF ZEPflYRHTt;l;.S <br />BlriIJHl!llG DEPARTMENT <br /> <br />OWNER'S NAItE <br /> <br />c () r..) c. \ ('~ J r r-JC- PRO~ (qD~) ~ (3 ....~i 9d <br /> <br />~~~:RRS%i{35C~~~l~\U~\U~.~r~~c(t<<~~~~\: I n~ <br /> <br /> <br /> <br />LEGAL DESCRIPTION: T.m(S 6f^ <:' t: \ \ Lt ~BWCK SUBDIVISION ~, lJ . ~i ll~ ( ~ ~ S\.o~ VU) C ~ (, <br /> <br /> <br />PARCEL LD.' B:~'-"-~ ~ <br /> <br />WORK PROPOSED:-",--l!llev Construction _Addition _ ~teration _ epair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: Single Fallily <br />/' ~rcial <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &: Hea1t:h Departaent Approval <br /> <br />Square Feet, <br /> <br />Height <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT PJ:..MllS &: (2) SEIS OF BUILDING PLAINIS &: (1) SET ENERGY FORMS. ** <br />ATI'ACD (3) SEIS OF BlITLDDlG PL.Ml1S &: (1) SET ENERGY FORKS... <br />..COPY OF CONTRACT REQ1JJIRED. <br /> <br />PEmlITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />VaIuation 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 />s <br /> <br />Val.uation of Mechanical. Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFmG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr~ _Steel <br /> <br />Other <br /> <br />FIl!llISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />***..*******...**.***.........*........... <br /> <br />BUILDER <br /> <br /> <br />COnRACIOR SECTION <br /> <br />cmlPANY <br /> <br />Signa <br /> <br />ELECTRICIAN orll!iP,ANY ~o.f~.\ ~ <br />-yJ () . 1 J 1- ~ L State Cert. or Regist. :/# <br />Si~ture ~ b( ,~~. City License Registration , <br />***..~~**...*..*.*......**...**.......*.. <br /> <br />~ \E c.\. -( \ c.-- <br />E~ooll(tO <br />/S-P <br /> <br />PUDKBER <br /> <br />Signature <br /> <br />COltPMY <br />State Cert. or Regist. :/# <br />City License Registration , <br /> <br />-A-.*~~*~-e:~~~~~'!::'."::~~'~:'::'1f::~.e:~~~~~~'!:~'!:~~~'!. -!:~-!:~~~~ <br /> <br />HEC'.IIANICAL r;mr'i\NY <br />State Cert. or Regist. , <br />Signature City License Registration j <br />.....*..*...*.*....*..**~:**.~*........*.. <br /> <br />OTHER cmlPANY <br />S~ate Cert. or Regist. :/# <br />Signature CiLy License Registration , <br />.*..*.*............... "'*.:ltil-:lt............... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />