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<br />~~ ", ~ 'f' <br />: '. or <br /> <br />~ \" <br /> <br />" <br /> <br />APPLICATION FOR PHRKIT <br />CITY OF ZEPHYlUIILLS <br />BUILDING DEPARTKKNT <br /> <br />OWNER'S lWIE'A If. C ' <br />. <br /> <br />OWNER'S ADDRESS ::)',.4 n IE <br />~32.'-I <br /> <br />.PHONE <br />r: te CI (..{..~ <br />( <br /> <br />?fL - <br />IIOnt.€. <br /> <br />319-;3 <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRlPI'ION: toTeS) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br />WORK PROPOSED:_Rev Construct.ion _Addition ~ecation ---...Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeJIOl.ish <br /> <br />PROPOSED USE: <br /> <br />Single F_ily <br /> <br />_H/F <br /> <br />_' of Units <br /> <br />-.Jt/B <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Svia. Pool <br /> <br />Other <br /> <br />---...Restaurant & Health Deparbtent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cotIHERCL\L : <br /> <br />ATI'ACK (2) PLOT PLAIIS & (2) SEIS OF BUILDING PLAliS & (1) SET ERERGY FORMS. <br />ATI'ACII (3) SETS OF BUILDIBG PLAliS & (1) SET ENERGY FOBBS. <br />PROPERTY SURVEY REQUIRED FOR ALL IiRV CONSTRUCTION. <br /> <br />PERtIITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_~ICAL <br />~HEClWlICAL <br /> <br />$ <br /> <br />AIIP Service <br />CJC1 <br />1,f()tJ --- <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBIRG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCI'ION: _Mock _Fc_e _Steel. <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACI'OR SECI'lON <br /> <br />BUILDER <br /> <br />COHPAlIY <br />State Cert. or Regist. I <br />City License Registration I <br />.......................................... <br /> <br />Signature <br /> <br />F.1.F.CTRl CIAlI <br /> <br />COtIPARY <br />State CerL or Regist. I <br />City License Registration I <br />.......................................... <br /> <br />Sipn:llture <br /> <br />PLUtlBER <br /> <br />COHPARY <br />State Cert. or Regist. I <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />ItECIIMllCAL <br /> <br />S~tU<e r <br /> <br />COMPANY ArT-J (AJ ~4/c- <br />J ~ State Cert. or Reglst. . fi' ~ f2.() I ,<"' "if S" <br />. . City License Registration I / l./ S- <br />..... .................................. <br /> <br />OTHF.R . <br /> <br />COHPARY <br />StaLe Cert. or Regist. I <br />City License Registration I <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPRoVED BY <br /> <br />PERKlT OFFICER. <br />