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<br />APPL,ICATION fOR PHRttIT <br />CITY OF ZEPHTRHIL~S <br />BUILDING DEPARntmiT <br /> <br />OWNER" S RAPlE <br /> <br />I(OI<..f)occ <br />t./fS( <br /> <br />jJ IAJTUs <br /> <br />K~<; if 70 ^f <br />Cd' TTJ1-~ /l, <br />f-ft-I--tP <br /> <br />PHONE <br /> <br />7';5 3 /70 9 ct <br /> <br />OWNER'S ADDRESS <br /> <br />.JOB ADDRESS <br /> <br />LE(,.Af. DESCRIPI'I01I: IDI(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />1<<)JU{ PROPOSIJD:_"ew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_.I!Iove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_"'F <br /> <br />_' of Units <br /> <br />_"/D <br /> <br />_c:c-ercial <br /> <br />_Indust. <br /> <br />_S,,1.-. Pool <br /> <br />ot:her <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant 5- Heall:h DepartlM!'Ot Approval <br />/ (p X (;)- , 5' (;~ k P-( <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />C'OPtItERCIAL : <br /> <br />A1TACD (2) PLor PLANS 5- (2) SKIS OF BUILDING PLANS 5- (1) SEI' ENERGY FORftS. u <br />A1TACII (3) SIl:I'S OF BffiLDING PLMS 5- (1) SlIT mlERGY FORtIS....... <br />......OOPI' OF CONTRACT RIlQ()JlRED. <br /> <br />PEmUTS REOUESTED <br /> <br />_BlITLDING <br /> <br />$ <br /> <br />.00 <br />rf2000 <br /> <br />Valual:ion of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----"E('''RARlCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLtJPtBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'ION: _Block -"'r:.e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR EUNATIONS: <br /> <br />fT. <br /> <br />IS PROJECT I IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />............................................................................................................................ <br /> <br />c::owrKAcroR SEClTON <br /> <br />BUILDER <br /> <br />_ COl!IPMY 5' cJ-v' S~ <br />~ K ~. State Cerl:. or Regist:. , <br />~ Cit:.y License Registration , <br />.............................................................................................................................. <br /> <br />~Ll/If l-f/rJ 'Y <br /> <br />77 <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COl!IPMY <br />State Cerl:. or Regist:. . <br />City License Registration t <br />.............................................................................................................................. <br /> <br />SiPnature <br /> <br />PLUlBER <br /> <br />COIIPARY <br />State (;erl:. or Regist:. , <br />City License Registration t <br />.............................................................................................................................. <br /> <br />Signature <br /> <br />ItEGIIMUCAL <br /> <br />mlIIPANY <br />State Cerl:. or Regist:. t <br />City License Registration . <br />.............................................................................................................................. <br /> <br />Signature <br /> <br />01B.Il:R <br /> <br />aJ!IPAIiY <br />St:ate Gert. or Regist. . <br />Cit:.y License Registration , <br />............................................................................................................................ <br /> <br />Signature <br /> <br />APPLICATION APPROVIlD BY <br /> <br />PEKllIT OFFICER. <br />