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<br />'"..... ",,- ". ~..,. ~.-..... "''l~,.....",~".... "",-.>r"'"">'!"~~':>"'''''-<':' <br /> <br />APPLICATION FOR PERIIIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPAR'l'KENT <br /> <br />OWNER' S RAHE <br /> <br />PHONE <br /> <br />OWRER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />....... <br /> <br />LEGAL DESCRIP'l'ION: IDT(S) <br /> <br />BLOClL-SUBDIVISION <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:~ew Construction --.Addition ---..Alteration -.Jlepair _Install <br /> <br />_Sign <br /> <br />-'love <br /> <br />-Deaolish <br /> <br />PROPOSED USE: -8ingle F8IIUy <br /> <br />---lI/F _, of Units ---lI/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />Restaurant Ii: Health Departaent Approval <br /> <br />DESCRIP'l'IOB OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />COMKERCIAL : <br /> <br />ATTACH (2) PLOT PLABS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET EHERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PEmnTS REQUESTED <br /> <br />-BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTlUCAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1tECBAIIICAL <br />-PLUHBDG <br /> <br />$ <br /> <br />Valuation of lIechanica1 Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9F mJlSmucnoli: -Block _Fraae _Steel <br /> <br />Other <br /> <br />FDIISBED FJ.OOll ELEVAnOBS: <br /> <br />Fl. <br /> <br />IS PROJECT D FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />_MI.DRR <br /> <br />COIIPAIfY <br />State Cert. or Resist. . <br />City License Registration , <br />************************************ <br /> <br />Signature <br /> <br /> <br />OIlPANY <br />tate Cert. or Regist. f <br />City License Registration f <br />****************************** <br /> <br /> <br />PI.IJMBRR cotIPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />****************************************** <br /> <br />IlECBANICAL COMPANY <br />State Cert. or Regist. f <br />Sigoature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICAnOR APPROVED BY PERIIIT OFFICER. <br />