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<br />APPL'ICAT'ION FOR PERl'lIT <br />CITY OF ZEPIIYronLLS <br />BUILDING DEPARTHENT <br /> <br />APPLICANT f2u+,4-f4:) f3~ -a.~~/lJ&- J ~C , <br />ADDRESS 3~~7 n..,tt./Oh r2~' '13wD <br />OWNER Nrlo /l1A1<t:::.6T ~ uA~ }/t;i.:X)frJGS --;So V. , <br />.381'"3 " CtAflt:~ ~J.j). SpAeE <br />JOB LOCATION/i1Ate~T ~U.qIGE. S/Jl>(J(J/1JG LOT SIZE .z~ ~ AREA SQ.FT. 1/70 <br />s.~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION t"'!/7 ~F ZGPHlj 12.. JflLL 5 <br /> <br />PHONE <br /> <br />7 9i.-1 :1..77 <br /> <br />PARCEL 1. D. ~~ <br /> <br />WORK PROPOSED:____New Construction ~Addition ~Alteration ~Repair ____Install <br /> <br />:z -:1-& - :l. J - ~e>IO '- (J 39()C .. bO-:LO <br /> <br />____Sign/Temp, <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br />Lcommercial <br /> <br />~M/F <br /> <br />____~~ of Units <br /> <br />.._M/H <br /> <br />_Indust, <br /> <br />____Swim., Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: 2. 0 X fJJ 0 , <br /> <br />1170 <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'1S."* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~BUILDING <br />~ELECTRICAL <br /> <br />:PERMTTS REOUESTED <br />.3~5(), f/7) valuation of Total Construction <br /> <br />$ <br /> <br />AMP Service Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br />-LPLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />/BloCk <br /> <br />ROOFING <br />_Frame ~Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />.A? ,.cONTRACTOR SE~ON <br />P\lTT.DF.R-~~ c..ZJ,j~ Company u<fUZP ~ Co_""COAJ6- 1Me. <br />, State Cert. or Regist. if C-7!:x:r -.' ~:z,"211-f <br />5 igna ture ~ - ~- Ci ty License ReG' ~ t,.a t ion II / ~ 9 <br />****************************************** <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />t5..l5/"nu c- <br />~~ <br />6G <br /> <br />Company <br />State Cert. or Hegist. D <br />City License Registration a <br />, ****************************************** <br />I <br />L-- <br /> <br />ELECTRTCIAN re~ <br />Si"nature [f..,2 ,;2- <br />~,,' <br />,; ,/ ... <br />, ~ <br /> <br />,5-0 <br /> <br />Company <br />State Cert. or Regist. ;! <br />City License Registration D <br />****************************************** <br /> <br />,)-7 <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration if <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />9J;;,' **,** ******,~****** * *, ** * ** 1e-!: i:-:: i: 1, 1: * i: 1: 1e * 1, 1: <br /> <br />/ A <br />',,1(1' Q/1A.~ . <br /> <br />PERl'lIT OFFICER. <br />