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<br />AP?L~CAT~ON FOR PERMIT <br />CITY OFZEPHYllilILLS <br />BU~LDING DEPARTMENT <br /> <br />APPLICANT _JiY\\'ti\r CNM,\-\rl1(f\~~~':\\A.c. <br /> <br />ADDRESS li \ S ~ 1}\./ .' 3DI 1\.. ~ '"'-Ip <br />t, ~l~ <br />OWNER O)\~\ ~~\ . <br /> <br />JOB LOCATION ~ 7hIJ - 14~ ~--\-rpA ;.Z.h\ \\" <br /> <br />( 1 33SlS <br />\~ \ PI PHONE <br /> <br />-.~ tCitJ7 - ~I <br />I <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.1~ <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 />____l'love <br /> <br />_Demolish <br /> <br />. . <br />PROPOSED USE: ~Single Family <br /> <br />"'~M/F <br /> <br />----"-1~ of Units <br /> <br />__HIlI <br /> <br />_commercial <br /> <br />':'-:'-Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING ~IZE: <br /> <br />x <br /> <br />Square Peet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COl'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 FORtIS. ** <br />**COPY OF CONTRACT REQUIRED. -. <br /> <br />.PF.RMTTS RF.QUF.STED <br /> <br />_BUILDING <br /> <br />$ Z /?A-? . t)D <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 />_PLUM B IN'G <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />..' ~;OOFING SPECIALTY <br /> <br />_MECHANICAL <br /> <br />$ <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 />PONTRACTOR SECTION <br />Company <br />State Cert. or Regist. !ft <br />City License Rcg"istration i~ <br />****************************************** <br /> <br />nUIT,DER <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration n <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or.Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />pLmmER <br /> <br />Sj.gna. ture <br /> <br />Company <br />State Cert. or Regist. 0 <br />.City License Registration 0 <br />*****?******************************~,*~:*** <br /> <br />MECHANICAL <br /> <br />QIHf.R \?"~ - <br />Signature . / 'l'd$if.tfAt~ <br /> <br />Company ~1~-r tJ)'fI..f.+ ~~c. <br />State Cert. or Regis t. ii i)l1'SS2.lc; <br />City License Registration ift 37 <br /> <br />APPLICATION APPROVED BY. <br /> <br /> <br />PERt-lIT OFFICER. <br /> <br />..-..: <br />