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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPIIYRIIILLS <br />BUILDIBG DEPAImIENT <br /> <br />PHONE 7 f3,;:< ~ I (' I I <br />/f-i/ g r <br />. <br /> <br />LEGAL DESCRIPl'ION: LOT(S) <br /> <br />BI.OCIL-.-SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ~pair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single F_ily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_K/H <br /> <br />_~ercia1 <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant 5: Health Deparu.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />KESIDENTL\L : <br />cottPIERCIAL : <br /> <br />AtTACH (2) PLOT PLAliS &- (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORKS. <br />ATI'AGH (3) SETS OF BUILDING PlANS 5: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY RIlQIllRIID FOR ALL ImW GONSTKUcrION. <br /> <br />PERtUTS KEOOESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECIlUCAL <br /> <br /> AIIP Service Florida Power Corp. W.R.E.C. <br /> /? '7/~/. ~ <br />$ Valuation of lIecbanica1 Inst:a1.lation <br /> GAS ROOFDIG SPECIALTY <br /> <br />_HEGHAInCAL <br /> <br />_PLUl'lBING <br /> <br />TYPE OF GONS1'B.UCI'IOIi: _Block _Fr_e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />GONTKACI'OR SECI'ION <br /> <br />BUlIDER <br /> <br />GOIIPAIIY <br />State Gert. or B.egist. , <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br /> <br />COItPANY h' L~-L. C ) A-.9 5 <br />State Gert. or Regist. , O/-? // \;I' 7 <br />City License Registration , ~~~' <br />. ........................................ <br /> <br />PLUlfBER <br /> <br />IUtGIIANICAL <br /> <br /> <br />GOtIPAIiY <br />State Gert. or B.egist. , <br />City License Registration , <br />.......................................... <br /> <br />GOtIPANY Ii ,,v -s ~/~ <br />State Gert. or Regi.st. , <br />City License Registration , <br />.................................... <br /> <br />Signature <br /> <br />Signature <br /> <br />C.a- }I,&Y <br />tPv'7"7.;z <br /> <br />OT'IIF.R GOfIPAIiY <br />State Gert. or Regist. f <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLIClJIOR APPIlOVIlD BY '11<t1>~ ~ "/lEW PEIlIIIT OFFICER. <br />