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<br />.. <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYilllILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />AllL <br /> <br />~e <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER Bl~~Y'Z:: ' <br />JOB LOCATION 0 . {(BiJp <br /> <br />UvY\.L+" .E <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D,{~~ IJ~ <br /> <br />BLOCK/ell <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New <br /> <br />I t!'--J S - V <br />1.0 <br />Construction~Addition <br /> <br />/ /~ r9- G -- c9-/ <br /> <br />~Alteration ____Repair <br /> <br />____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />__~love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/P <br /> <br />--,--f~ of Uni ts <br /> <br />.____~l/ 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 />COmlERCIAL : <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 FOR~IS. ,~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PRRMITS RROURSTED <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.G. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_F'ram~ ____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 i~ <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />Company <br />State Cert. or Regist. 0 <br />Cit;.y License Registration il ~ <br />************************************ <br /> <br />Signature <br /> <br />Company <br />State Cert. or.Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />SignatuFe <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />~IECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration a <br /> <br />**********************************~******* <br /> <br />PERl-lIT OFFICER. <br /> <br />APPLICATION ,APPROVED BY <br /> <br />,'f <br /> <br />~ <br />, . .. :,,:, , <br /> <br />."'" <br />