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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPARntENT <br /> <br />OWNER'S liMtE <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: toTeS) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />.:,- <br /> <br />WORK PROPOSED: New ConstrUttion _Addition _Alteration _Repair _Install <br />- ~' <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single FUlily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/B <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Deparblent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet. <br /> <br />Height <br /> <br />RESIDERTIAL: <br />comtERCL\L : <br /> <br />ATTACH (2) PLOT PLUlS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PI.A.RS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCfIOR. <br /> <br />PERfII.TS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />__W.R.E.C. <br /> <br />_KECllAIiICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJfIBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.............t............................ <br /> <br />CONTRActOR SECI'ION <br /> <br />B01W~ COIPAIIY /?--L..~ /~ ../. ~., <br />c::;7<., State Ger!:. or Regis!:.' R ""- " (] .r-q ~l'-l <br />Signat e. (3 l.t J!Jll... ~ City License Registration' 2.- <br />.......................................... <br /> <br />ELECfRlCIAB COttPANY <br />State Gert. or Regis!:. . <br />SiPO~ture City License Registration . <br />.*.......*.....*.......*.....*............ <br /> <br />PLuttBER COKPAIiY <br />State Gert. or Regist. , <br />Signature City License Registration . <br />....................*........*.....*...... <br /> <br />IlECllMfiCAL COKPANY <br />State Gert. or Regis!:. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTHKI{ COKPANY <br />State Gert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />