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<br />~~._.~-..---~.......~ _.._,--.......-~. <br /> <br />_._ ...,__..._._"'_ __.'...........-:_~...._.........' ~......._____-.-----'T'_._.___~__.~..."_._ <br /> <br />APPLICATION FOR PEIUIlT <br />CITY OF ZEPIIYRIIILLS <br />BUlLDIRG DEPARTMENT <br /> <br />OWNER' S RAtIK <br /> <br />;:;: nit t{ If) /) F. L Y AJ~t+ <br />OWNER'S ADDRESS '67 LJt>G::, Del2"E16 HI ee 0'2. <br />JOB ADDRESS ~'7If~to ~f?:Ri~HIRe OR... <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE 73D -~'7/;<9 <br />Z '1 P/-il2lll/!:5 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ~ddition ~teration ____epair XInstall <br /> <br />_Sign <br /> <br />--'love <br /> <br />_DeIIOlish <br /> <br />PROPOSWUSE:~Sing1eF_ilY <br />_~ercia1 <br /> <br />~/F _' of Units ~/H <br /> <br />_1ndust. _Swia. Pool _Other <br /> <br />____estaurant &: Health Departaent Approval <br />DESCRIPTIOR OF WORK: TN ~/A'II I !1Drorcrc:. ev S/luT77::/2 UJIT/! i)vee~/])e <br /> <br />BUlLDIRG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ArrACII (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ArfACII (3) SETS OF BUILDIRG PLANS &: (1) SET ERERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. <br /> <br />PERMITS REOUESTW <br /> <br />~UlLDIRG <br /> <br />$ <br /> <br />17l)D.~ <br /> <br />Valuation of Total Construction <br /> <br />RI.R.CTlU.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CllAlll.CAL <br /> <br />$ <br /> <br />Valuation of Hecbanica1 I.nstallation <br /> <br />----.l'LutlBING <br /> <br />GAS <br /> <br />KOOPlNG <br /> <br />SPECIALTY <br /> <br />TYPE ~fl OORSDUCTIOR: ---Block _F~e _Steel <br /> <br />Other <br /> <br />PIlUSBED FLOOR ELBVAnONS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZORE AREA., <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />~,,~ <br />. <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ~ ,,-ltl ~A--\. ~ <br />State Cert. or Regist. t <br />City License Registration' ~ij tf' <br />.......................................... <br /> <br />RIJTl.DRR <br /> <br />= <br /> <br />~ amAH <br />~ f) State Cert. or Regist. . <br />.. ~ City License Registration . <br />, ........................................ <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />~r'r <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />HEC8AHI.CAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTIIP.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PElUlIT OFFICER. <br />