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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRH~LLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br />ADDRESS In l/ / / tAl Of) f) r2 u pi:::. st. <br />OWNER H E-r< e) !? R+ ct- '-~e M ~ 10 I? 1+ CnttJ tJ... L '/IV <br />JOn LOCATION (J~II (JDDI:> ~u FF S-L <br /> <br />PHONE .1fJ -lpLf~~ <br /> <br />LOT SIZE~X /3() I AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) log) \qJ;).,() BLOCK C SUBDIVISION <br />PARCEL I.D.i~ ()c2-J0-.:;p-(")(){on_Vof'.-(')O-OI$?D <br />WORK PROPOSED:____New Construction \~Addition ____Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />~love <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_i~ of Uni ts <br /> <br />,_l'l/H <br /> <br />____Commercial <br /> <br />~Indust, <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COM1'lERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORt-IS. ,~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />LBUILDING <br /> <br />$ <br /> <br />1000.00 <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.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 />4 i- Ll i()'\ . <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 Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ET.ECTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration fl <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />.City License Registration }~ <br />*************************************~**~* <br /> <br />~lECHAN1 CA T. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />**********************************f******* <br /> <br />APPLICATION APPROVED BY <br /> <br />PERtIIT OFFICER. <br />