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<br />APPLICATION FOR PHRKIT <br />CI'IY OF ZEPHY:RHILLs <br />BUII.DDiC DEPARI1!l:Em' <br /> <br />. .' <br /> <br />OWNER · S RAIlE <br />lNRER'S ADDRIlSS ,",? J( ~ ". D <br />JOB ADDRESS ~ <br /> <br />ot:~-~ <br /> <br />Of)~ FHOD Yr?..2t- ~ LIO 9 <br />~~avL-2 -~~ ' <br /> <br />, <br /> <br />LEGAL DESCRIPTIOI!f: UJI'(S) Bl.OCX SUBDIVISIOIll <br />PARCEL LD.' tJ2-- 26 - ~r - f) d;;L1 - 00 () 00 .-- 006 0 <br /> <br />WORK PROPOSED:_lIev Const:ruct:ion ---...Addit:ion _Alt:eration. _Repair ~~t:all <br />_,_Deaolish t2?1,d.~~~ <br /> <br />S. <br />- 19D. <br /> <br />_ftove <br /> <br />PROPOSED USE: <br /> <br />Singl.e FaRtly <br /> <br />.> _"IF <br /> <br />_, 0:[ units <br /> <br />_K/H <br /> <br />_<=<-ercial <br /> <br />_Indust:. <br /> <br />_Swill. Pool <br /> <br />Other <br /> <br />_Rest:auran.t &: Hea1t:h. Depart:aeo.t: Approval <br /> <br />BUILDDiG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />J RESIDENTIAL: <br />COKttRRCIAL : <br /> <br />A'l'TAcH (2) PI.OI' PlAliS &: (2) SEI'S OF BUILDIliG PI...ABS &: 0) SET ENERGY FORKS. ** <br />AITACH (3) SEI'S OF BUILDIIJG PLUrS &: (1) SET ENERGY FORKS. *-:l- <br />**COPY OF CORTRACT lUlQ1JIIRIlD. <br /> <br />PIlmIITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuat:ion 0:[ Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIfp Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAliICAL <br /> <br />$ <6 'it': <?- g-- <br /> <br />Waluat:iolt of Hechanical Installation <br /> <br />_PLUKBIHG GAS BOVRlIG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'rION: _Block _Pralle _Steel <br /> <br />Other <br /> <br />FIliISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS P.KO.JEcr III FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />**************************~*************** <br /> <br />COftD'RACIOR SECTION <br /> <br />Bm, JlF.R <br /> <br />CO!IPM<< <br />St:at:e Cert:. or Regist:. " <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />KJ.F-CTRICIAN' <br /> <br />CO!IPAlMY <br />St:at:e Cert:. or Regist:. f <br />City License Registrat:ion . <br />****************************************** <br /> <br />SilmAture <br /> <br />PLOKBER. <br /> <br />CO!IPMiY <br />State Cert. or Regist. , <br />City License Registration . <br />*************************** ************* <br />..... <br /> <br />Signature <br /> <br />IfEalAl[[CAL <br />Signa~" <br /> <br />/' <br /> <br /> <br />~ amp <br />Stat:e Cert:. or egist:. f <br />City License Registration <br />, <br />**************************************** <br /> <br /> <br />OTIIF.R <br /> <br />CO!IPMiY <br />Stat:e Cert. or Regist:. , <br />Ci~ License Registration . <br />*********.**a~**************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVFJ) BY <br /> <br />PERKIT OFFICER. <br />