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<br />~. ,. , ... ''<I>' ._.........., .." ""'__._.'. ,-...,... ",....._~.._ ... <br /> <br />APPLICATION FOR PBRHIT <br />CITY OF ZEPIIYRIIILLS <br />BUILDING DEPARTHENT <br /> <br />_'S - AI fJ x o(l[{<9S- ) C)Q vp_ PRONE '6 It! l'f{J ~ <br />OWNER'S ADDRESS ~l/dC) (\()l )('()\Yl NV~- <br />JOB ADDRESS ~ll& n~Ucom We- <br />LEGAL DESCRIP'l'ION: LOT(S) BI.OCK..--SUBDIVISION Gr O,(\c1 +to,", zon <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-Hew Construction --."Addition -..Alteration -...Repair _Install <br />_Sign ---1Iove -.Deaolish <br />PROPOSED USE: _Single F_ily ---1J/F _' of Units 2...Jt/H <br />_ec-ercial _Indust. _Swill. Pool _Other <br /> <br />Restaurant &: Health Departaent Approval <br /> <br />DESCJUPr1011 OF 1iOIlIt: ::\.',.'5 ioI t5t LO 0r/c c Do. nge ~OU+ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />. <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />RI.RCTRlCAL <br /> <br />MIP Service Florida Power Corp. <br />S ~. ci:) Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />~ClWiICAL <br /> <br />----PLUllBDfG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE PF COISTIlUcnON: -Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />P1IIISBED n.ooR BLEVAnOBS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />COBTRACTOR SECTION <br /> <br />BllTUlER <br /> <br />COHPANY <br />State Cert. or Regist. f <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />RI.RCTRTCLUI <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration' <br />.......................................... <br /> <br />SignAture <br /> <br />PLmlBER <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />1lEClL\NICAJ, ~ OOfIPANY. L i <br />DC 1L 1t. (' ~~~ State Cert. or Regist.' ' <br />Signature C (9 , . V y,- City License Registration . <br />- . ...............**.****.****......*.**..* <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />.......*.......*******.*****.**.**.*.*.*.* <br /> <br />APPLICAnON APPROVED BY PBRHIT OFFICER. <br />