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<br />APPLICATION FOR PERMIT <br />CITY OFZEPI1Y lUULLS <br />BUILDING DEPARTMENT <br /> <br />APpLICANT it/? dS' 4~~ ' <br />ADDRESS~Z;;/)- _ L:.h (',/'(' k <br />OWNER ___~ ~M e.,c <br />5-70 K 9-4 S:r- <br /> <br />PHONE <br /> <br />7xZ - ,5~2-tt] <br /> <br />Ii <br /> <br />LOT SIZE/~ x ~ AREA SQ. FT. <br />BLOCK Z-t:. SUBDIVISION Z/ <br /> <br />Jon LOCATION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D. t~ <br /> <br />WORK PROPOSED:____New Construction -^ddition _Alteration __Repair _Install <br /> ____sign/Temp. _Sign __Hove ____Demolish <br />PROPOSED USE: ____Single Family _M/F _t~ of Units ._~l/ll <br /> ____Commercial ~Indust. _Swim. Pool Other <br /> <br />COIf) <br /> <br />o (-J{.OO .~ () Z-~O <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />CO/'U'tERCIAL : <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 />EERMTTS REQUESTED <br /> <br />_BUILDING <br /> <br />$ (/'6 co ~ <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 />_PLmmIN'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 /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ~ <br />Ci ty License Regis tra !'.inn Ii ;)... <br />****************************************** <br /> <br />Si!!nnture <br /> <br />Company <br />State Cert. or Regist. 0_ <br />City License Registration 0 <br />****************************************** <br /> <br />Signat.ure <br /> <br />Company <br />State Cert. or Regis t. !,!, <br />City License Registration 0 <br />****************************************** <br /> <br />PT.HMRER <br /> <br />,S igna ture. <br /> <br />Company <br />State Cert. or Regist. 0 <br />,City Licen~e Registration 0 <br />****************************************** <br /> <br />tjECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or'Regist. r <br />City License Registration r <br /> <br />APPLICATION APPROVED BY, <br /> <br />**********************************f******* <br />. '-/1 ~ ~" ~ ~CJ 4 dd":';- <br /> <br />PERl-11T OFFICER. <br />