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<br />... <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPR~RHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br />ADDRESS F 0, <br /> <br />[3 ~ f1t\ ~ 'VI <; 1. ,~, <br />C3 P)L- _\Lf-hd ,LrA//ce/~ lid <br />OWNER ~ (iL D D l' fA)' <br />JOB LOCATIONb S-12 (~) l f.? It.v~ <br /> <br />1"//9 <br /> <br />PHONE f l '? - ' 6' LfLfr () if~( <br /> <br />" <br /> <br />LOT SIZE <br /> <br />X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. ~~ <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />~tall <br />____Demolish <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />____Alteration <br /> <br />____Repair <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____~~ of Uni ts <br /> <br />, .____M I 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 Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 FO~lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />/BUILDING <br /> <br />~F.RMITS REOUESTED <br /> <br />$ <br /> <br />,/ff <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 />____PLUMBING <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 />""r). ~ b 'j. L ~ }vi 00 r c: . ********~:******************~n~*****,.,******1: <br />I.:J 0 n ;1 _ () /' CONTRACTOR SECTIOi3 fj <br />BUTLDER t:> '\. Yk.. GO -}l..4...P' LO' ,Company <:::\ 'YY\ ~~, <br />(~ 0~ State Cere. or Regist, !I r: ~- ace 7 ':22 <br />Signature c./"'.-I ' City License Registration iF 21 e:ht. . <br />~ - .. ............................."....,,,.. /~ <br />vi <br /> <br />El.ECTRTCTAN Company <br />State Cert. or Regist. # <br />Si2nature City License Registration # <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist. ~ <br />Signature City License Registration j,f <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signature City License Registration lJ <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration j~ <br /> <br />APPLICATION APPROVED 3Y PERMIT OFFICER. <br /> <br /> <br />--,.~ <br />