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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYID1ILLS <br />BUILDING DEPARTMENT <br /> <br />~. <br />\ .('Ie" <br />APPLICANT I (..',' c::...~ C <br /> <br />s' <br /> <br />/LII? A/ G- fAr' ;- <br />s /-Z /i/L( :) <br />/G / A,' .I <br /> <br />ADDRESS "ill tfi ') / C.,' <br /> <br />OWNER ,~'~c/~Cc.o ,,~~/d^ <br />/ <br />JOB LOCATION ~'/ r:5l/; <br /> <br />PHONE '} .~-] <br /> <br />;/( I t./ 8-' <br />. <br /> <br />~ c; <br /> <br />.- <br /><J ./ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOTes) <br />PARCEL 1. D ,~~...-- t-f? 9' tJ <br /> <br />BLOCK SUBDIVISION <br />,f::,~C5~'-f7q6 .~~ // - rJ-(, - ;J/'~ oo/O-;J/J.)f70-00/0 <br /> <br />WORK PROPOSED:____New Construction ~ddition -^lteration _Repair ____Install <br /> ____Sign/Temp, _Sign _./'Iove ____Demolish <br />PROPOSED USE: ____Single Family _M/F -~~ of Units ._I'I/H <br /> -~ <br /> ____Commercial ~Indust. _Swim. Pool Q-:.eA~ Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING ~IZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COH.l'IERCIAL : <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 FORI'IS.** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />~BUILDING <br /> <br />.rf.RMTTS REQUESTED <br />, & L) e..Ic.p <br />$ ~ $' fi)~ ~aluation of Total Construction <br />, <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Va~uation of Mechanical Installation <br /> <br />.... <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_PLUMBIN'G <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. U <br />City License Rcg"istratinn ~~ <br />****************************************** <br /> <br />InJ1LDER <br /> <br />Si!mature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or .Regist. ~ <br />City License Registration 0 <br />****************************************** <br /> <br />pun-mER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0_ <br />.City License Registration iF <br />****************************************** <br /> <br />HECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. Or Regist. O. <br />City License Registration if <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY. ~;'::;1"A*;':;:;**"*":d""***''''**'' PERMIT OFFICER. <br /> <br />--"II! <br />