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<br />APPLICAnON FOR PERKlT <br />CITY OF ZEPIIY1UII.LI.S <br />BUILDING DEPARTHENT <br /> <br />OWNER'S <br /> <br /> <br />ONE <br /> <br />JOB ADDRESS <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />(OBTAllI FROM PROPERTY TAX NOTICE) <br />tdition -..Alteration --Repair _Install <br /> <br />PARCEL I.D.' / <br /> <br />WORK PROPOSED: ~ et-- <br />6u0 <br />Z~ <br /> <br />PROPOSED <br /> <br />f96~ <br /> <br />re ----P~lish <br /> <br />_' of Units ---.Jt/B <br /> <br />t. _Swia. Pool _Other <br /> <br />DESCRIPTIOII <br /> <br />,t ApprovalC:: II G -LL \ <br />jf)YVJ ~/~ 71Y}J cnC~e~~ <br />t, B I Height <br /> <br />BUILDING SIZ! <br /> <br />RESIDEIITIAL: <br />COMMERCIAL : <br /> <br />1 <br /> <br />BUILDIIIG PLANS &: (1) SET EIIERGY FORMS. <br />.-sitS &: (1) SET ENERGY FORKS. <br />-- "OR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />$. <br /> <br />. (!fD <br />r?aJO '--" <br /> <br />PERKITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />RI_RCTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECBAlIICAL <br /> <br />$. <br /> <br />Valuation of Mechanical Installation <br /> <br />-PLUHBDG <br /> <br />GAS ROOFIIIG <br /> <br />SPECIALTY . <br /> <br />TYPE OF COIISD.UcnOIl: <br /> <br />Bloclt -Yraae _Steel <br /> <br />Other <br /> <br />FDlISBED PJ.OOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PlWJECI' IN FLOOD ZONE AREAt <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIITI.DRR <br /> <br />~~... 1.17.. '~~. or~t. . <br />.. ',f)({j/kt1.a{ City License Registration . <br />.......................................... <br /> <br /> <br />Signature <br /> <br />RT_RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SilmAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />tlECHANIGAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAnOIl APPROVED BY <br /> <br />PERKlT OFFICER, <br />