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<br />" <br /> <br />, . <br /> <br />APPLZCATION FOR PERMIT <br />CITY OFZEPHYIDiILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />c~~ . <br />PHONE r5 (-? ) - cr & .p 0 <br /> <br />r-. Y ..I1~M . ~VJ7.lr b..( Ir. bUA/V <br />ADDRESS ~ J ~ ,cS, tllL/j 9R IJ. (' . <br />OWNER jf/{1AAd' Cl1 W~ <br />JOB LOCATION a5 r:5/ q t2 - I\. )'.lli1 ;1 <br /> <br />LOT SIZE_X <br /> <br />AREA SQ.FT. <br /> <br />LECAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I,D,1~ jo ~~ .~ /.160(;,0 .-OOO,d-7 ~ 11 <br />WORK PROPOSED:____New Construction~ddition ----Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_f-Iove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____t~ of lIni ts <br /> <br />._f-l/Il <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 Pee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COf-frIERCIAL : <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 PORl'IS.H <br />**COPY OF CONTRACT REQUIRED, <br /> <br />,PERMTTS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C, <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Va~uation of Mechanical Installation <br /> <br />_PUJMBHIG <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration i~ <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ET.ECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration 0 <br />******************************~*********** <br /> <br />Si!mature <br /> <br />Company <br />State Cert. or.Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />pI.mmER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration 0 <br />****************************************** <br /> <br />HECHANTCAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. i~ <br />City License Registratioh 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />PERl'lIT OFFICER. <br /> <br />APPLICATION APPROVED BY. <br /> <br />".... <br />