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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYlliiILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br />. '.;' <br /> <br />M \ L ~ lO\J$1V.Ucno ~ \ .\'N c.. <br />n\~ ~'" ~C\ N..~~ ( \"t'f R <br />9 '. I I <br />rr J~~w~ {~i"Ht)U~"r \hJ~~ <br />5 ~2.D - I\~' ~1:ae.t- <br /> <br />3'3~i~S <br />PHONE <br /> <br />9n+l~~7. ("D47 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ <br /> <br />1\ - z.G.. z... \. DO \ 0 - \ 7 I 0 D. b f~ D <br /> <br />WORK PROPOSED:____New Construction '~ddition <br /> <br />____Alteration <br /> <br />'-L"Re.. ~D .:- <br />~Repair ____Install <br /> <br />____sign/Temp. <br />PROPOSED USE: ~'~nsle Family <br /> <br />_Sign <br /> <br />_l'love <br /> <br />____Demolish <br /> <br />'._M/F <br /> <br />~# of Units <br /> <br />.____H/II <br /> <br />____Commercial <br /> <br />~Indust.. ____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />CmmERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORl-IS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />X;;ILDING <br /> <br />$ \. \B9.0b <br /> <br />U.E -S.,:jRMITS REQUESTED <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 />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 />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />Signature <br /> <br />~ONTRACTOR SECTION ^ <br />Company (Yh\"'~ l'~~1'RIl(:t"\Q~ I \'tJ <- <br />. State Cert. or Regist. 1ft ~ 0055"2..1~ <br />City License Registration.. 31 <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. 0 <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 U <br />****************************************** <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. 0 <br />.City License Registration 0 <br />*****J*******f**************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />. ~'} , ~;:.:~'~~ <br />'.' .Ii !\l"FLl-CA'TION-o APPROVED BY <br /> <br />-jtl~:****~;~~:~*::******************* <br /> <br />1 ~ .,' ..". . "'... ... . <br />" . ..: \..r' <br /> <br />PER1'lIT OFFICER. <br /> <br />-''''''. <br />