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<br />APPLICATIo.N FOR PERKIT <br />CITY o.F ZEPHYRIflLLS <br />.11 --:1t1 ^ ~ BUILDlBG DEPARlIIENT <br />'fV~\ \ OJl'\ ~ <br /> <br />o.WNER'S lWIE ~ PHo.NECft-I-+~'-02.70 <br /> <br />~'S ~~ <br /> <br />Jo.B ADDRESS <br /> <br />\\ ftA~ Sl6-N If <br /> <br />*- <br /> <br /> <br />LEGAL DHSCIUP1'lo.N: I.OT(S) <br /> <br />BWGK <br /> <br />SUBDIVlSIo.NJ'lOl211f Tt) W N CT12- . <br /> <br />PARCEL LD.' <br /> <br />WORK PRo.POSED:~New Construction <br /> <br />~ <br /> <br />_Addition _Alteration _Repair ~Iosta1l <br /> <br />_Hove <br /> <br />_DeJIOlish <br /> <br />PRo.POSED USE: <br /> <br />Single F3IIily <br /> <br />_H/F <br /> <br />_' of Units <br /> <br />_H/H <br /> <br />~ec-ercial <br /> <br />_Indust. <br /> <br />_Swi.. Pool <br /> <br />o.ther <br /> <br />----Restaurant. &: Health Deparr:.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cottKERGIAL : <br /> <br />ATIAGB (2) PLOT PLUS .. (2) SKIS o.F BUILDING PLANS &: (1) SET ENERGY Fo.RMS. <br />A'lTACII (3) SE1S OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL HEW CONSTRUcno.N. ~ <br /> <br />PERKITS REOUESTED ~ <br />v <br /> <br />~BUILDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />2. t-3 ?:OO <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ttECIIAIIlCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLutlBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPEGIALTY <br /> <br />TYPE o.F CORSmUCrION: _Bloclt <br /> <br />_Pralle _Steel ~ t&N <br />IS PROJEGI' IN FLOOD Zo.NE AREA? <br /> <br />FINISHED FLOOR ELEVATIo.NS: Yf . <br /> <br />YES NO. <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br /> <br />Co.BTRACI'o.R SECI'Io.N <br /> <br />, CotIPAIIY A pL6 <;l&tJ <br />State Gert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br /> <br />v'1e-/, t L - <br />~ <br />. -;Jj / <br />5 <br /> <br />F.I.F.CTRl ClAN <br /> <br />COMPANY <br />Stat.e Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />SilmAture <br /> <br />PLutlBER cotIPANY <br />Stat.e Cert.. or Regist.. . <br />Signat.ure City License Registration t <br />.......................................... <br /> <br />IlEClWfICAL COMPANY <br />State Gert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />OTHF.R CotIPANY <br />'. State Gert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPImVED BY PERIIlT OFFICER. <br />