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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPARt'ItENT <br /> <br />~~'Y)/)'il~ . . <br />~If( ~11it <br /> <br />OWNER'S lWtE ;.1.;11 IN-rc'ltt:S~ <br /> <br />PHONE <br /> <br />OWNER · S ADDRESS <br />JOB ADDRESS &/// 2{-,>/]hYR_ IiI1Jv73/Ub <br />LEGAL DESCRIPTION: toT(S) BLOCK SUBDIVISION <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:_Nev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeJIOlish <br /> <br />PROPOSED UlSE: <br /> <br />Single Fallily <br /> <br />_M/F <br /> <br />_' of Units <br /> <br />_M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant. 6: Health Depart.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~re Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cotVIERGL\L : <br /> <br />ATTACH (2) PLOT PJ:.MiIS 5: (2) SETS OF BUILDING PLABS 6: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS 6: (1) SET ENERGY FORtIS. <br />PROPERTY SURVEY REQUIRED FOR ALL lUl.W CONSTRUCTION. <br /> <br />L~LDING <br /> <br />PERIIITS REOUF.STED <br /> <br />$ 9J..C() ,,")0 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />,_W.R.E.C. <br /> <br />_MECBAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Inst:a1lation <br /> <br />_PLlJtIBIBG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSnucrION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FIIIISHED FLOOR ELEVAnONS: <br /> <br />Fr. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.............t.t..tt...................... <br /> <br />BUILDER <br /> <br />CONTRActOR SECTION <br /> <br />COHPAliY 7?+/I /fJ ~N ~/O;-{}-/llrNT / AlC-- <br />L State Cert. or Regist:. , <br />~ Y.5v1l ~ City License Registration' Lj~1 <br />C ............t.t........................... <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert:. or Regist. , <br />City License Registration , <br />............t....t............t........... <br /> <br />SiP11Ature <br /> <br />PLutmER <br /> <br />COHPMiY <br />S tat.e Cert:. or Regis t. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COttPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist:. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAnOB APPROVED BY <br /> <br />PElUlIT OFFICER. <br />