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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPBnHILLS <br />BUILDING DEPARTMENT <br /> <br />OlIIIER'S ~J\JPl-Ll C;:;OL-T PHONE pg;j-It;S;2.. <br />OlIIIER'S ADDllESS '38010 C/l/?1fJlE,U /.Ji/LE.> / 26.~/.l{tJ?jjll/'\ .J F/ .//0+ <br />JOB ADDRESS ?>8"h/f) CM1I2W I9t/It- J 2~h'Y~ '~zs~ <br />LEGAL DESCRIPTION: LOT(S) I~Ff BLOCX/ SUBDIVISION /f. ~ ~5r: <br />PARCEL I.D.' B5-~~-:</ -fJCJS'I1-oomlJ - t;Z${) (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:.4New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Kove _D~olish <br />PROPOSED USE: -A-Single Faa-ily _K/F _' of Units _K/H <br /> _eo..ercial _Indust. _Swiat Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />. ~ ANi7 ~ ;..16" r.]'11-- <br />3(J::fD' <br /> <br />DESCRIPTION OF WORK: SttiftJ_ g lifiD CD\)5f2tJofM t9Al <br /> <br />BUILDING SIZE: /0 x4. J ~f) Square Feet.~~eight <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~BUILDlNG <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP ServIce <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECllAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS <br /> <br />TYPE OF CONSTRUC'l'ION: _Block <br /> <br />ROOFING SPECIALTY <br />_Fraae ~Steel Other <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />FIliISHED FLOOR ELEVAnONS: FT . <br />.., <br /> <br />......................................*..* <br /> <br />BUTT .DO <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />**************...*....********** <br /> <br />F.T .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 />.. <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.**....**.****************.*.*..********** <br /> <br />Signature <br /> <br />OTHRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*..*.*.*****.*******.******..**.********** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />