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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPR~roiILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />WRLbd1s f'- <br />::::55 (;~ d ;.fJ/t'J!6 <br /> <br />JOB LOCATION .?I / /; '-- ~.Y ~ <br /> <br />, PHONE' I <br /> <br />J1M-1j~A~--,L <br /> <br />LOT SIZE_X <br /> <br />AREA SQ.FT, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ <br />WORK PROPOSED: ~New Construction <br /> <br />____Addition ____Alteration <br /> <br />_Repair <br /> <br />_Ins tall <br /> <br />_Sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~M/F <br /> <br />_~~ of Units <br /> <br />,,_M/H <br /> <br />____commercial <br /> <br />____Indust. <br /> <br />____Swim, Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <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, H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pERMITS REOUESTED <br /> <br />V;UILDING <br /> <br />vELECTRICAL <br /> <br />VMECHANICAL <br />~' . <br />____PLUMBING <br /> <br />$ . ?/.2, ~ . <br />. <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_W.R,E,C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist, ~ <br />City License Registration n <br />****************************************** <br /> <br />BUTLDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, n <br />City License Registration n <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />ELlJMBERl/ 3 Company <br /> <br />5 ignature {jf ie. ;ftIl . ~ Ll ~ ~ ~~~\~~:~~e o~e~~;~~~ ~i:n ;1 <br /> <br />****************************************** <br /> <br />I ~~ '7 <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />MECHAN1CAT. <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, n <br />City License Registration n <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />