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<br />OWNER'S N <br /> <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIlYRlIlLLS <br />BUILDING DEPARTUENT <br /> <br />i~/()J <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) O1io.th;ct BWCR <br />PARCEL 1.0.' D~-dLQ-d I-COlD -l.J~- CUI 9 <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PRO~ERTY TAX NOTICE) <br /> <br />WORK PROPOSED: New Construction Addi tion -.ftlteration ~epair _Install <br /> ~ign 7,;:ve . <br /> _De.olish <br />PROPOSED USE: _Single Fallily ----111 F _, of Units _HIli <br />" _eo..ercial _Indust. _Swu.. Pool _Other <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />--"o~auci\"'t .. HoaUh Ik!~"'ont ~ppcoval <br /> <br />DESCRIPTION OF WORR:lJ.Q1.Q(OiQ) I J,L StCfn <br /> <br />BUILDING SIZE: X ,] 1 ~O Square Feet. Height <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACI (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/ BUILDING <br /> <br />$ c9 CCO~ <br />I <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AttP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IECDAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />---..J'LutlBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~loclt _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREAl <br /> <br />YES NO <br /> <br />.......................................... <br /> <br /> <br />Bin IllER <br /> <br />cotIPANY I '{ I e.. Si <br /> <br />State ert. or Regis'. . <br />Cit:y License Regist:ration <br />............................ <br /> <br />COHPANY Yi\l.lE- SI~S <br />Sta e Cert. or Regist.' E:5-0~/?J <br />ty License Registration , <br />................................. <br /> <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signat:ure <br /> <br />COMPANY <br />State Cert:. or Regist. , <br />Cit:y License Registration , <br />.......................................... <br /> <br />ItECDAIIICAL <br /> <br />COMPANY <br />State Cert:. or Regist. t <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />OTHER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Regist:ration , <br />.............~............................ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />