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<br />APPLICATION POR PERMIT <br />CITY OFZEPHYru~ILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />J c0~~~ <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D,t~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:_New Construction~ddition _Alteration _Repair _Install <br /> <br />_Sign/Temp, <br /> <br />_Sign <br /> <br />__t-love <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />~M/F <br /> <br />_t~ of Units <br /> <br />._1'1/ II <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 />CQt-I}!ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SIn ENERGY fORt-1S.'~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS 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 />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 />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. 0 <br />City License Rcg"istratinn i~ <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTCTAN <br /> <br /> <br />Company <br />State Cert. or it <br />City License R gistration 0 <br /> <br />":::::::/I~ ;":'70:; /Z~ b /:V e- <br /> <br />State Cert. or .Reg1.s t. ,.. A <br />City License Registration it &::- i <br />****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist. 0 <br />,City License Registration 0 <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY. <br /> <br />PERNIT OFFICER. <br /> <br />....... <br />