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<br />, . <br /> <br />APPLICAnON FOR PERHlT <br />CITY OF ZEPIIYRBILLS <br />BmLDDlG DEPAR11IENT <br /> <br />_'S _ 27 C-OI1 fl. i~ ~ <br />OWNER'S ADDRESS ,-~9b8<.f m (-5 ct)'jouJob~ WOf <br />JOB ADDRFSS 39 08- L( rrl B.('\ "0 OuJOC;) LoOp <br /> <br />PHONE <br /> <br />g-/3 )~d 0]38' <br /> <br />LEGAL DESCRIPl'ION: toTeS) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_D~lish <br /> <br />PROPOSED USE: <br /> <br />Single Fmlily <br /> <br />_H/F <br /> <br />_' of Units <br /> <br />_K/B <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Departllent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Beight <br /> <br />RESIDENTIAL: <br />GOKKERGlAL : <br /> <br />AlTACH (2) PLOT PLOS & (2) SETS OF BUlLDDlG PLANS & (1) SET ENERGY FORKS. <br />ATtACH (3) SILTS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL 8RW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECIlUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ltEGBAlUCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUPlBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTlOB: _Block _Fraae _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 />CON1'RAcroR SECTION <br /> <br />BUILDER GOHPAIIIY <br />State Gert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />ELEGTRIGIAN GOHPABY <br />State Gert. or Regist. , <br />SiPn~ture City License Registration , <br />.......................................... <br /> <br />PLUKBER GOfIPANY <br />State Gert. or Regist. I <br />Signature City License Registration , <br />.......................................... <br /> <br />IlEGIIAlUCAL GOHPAtiY <br />State Gert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />OTHF.R GOKPANY <br />State Gert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />