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<br />APPLICATION FOR ,PEIDlIT <br />CITY OF ZEPIIYRHJ;,LLS <br />BUILDING DEPART~lENT <br /> <br />. <br /> <br /> <br />APPLICANT ;f.c:te h/~.L ,~;,~, . <br />2o? /:J1."U ~~' ~> A:-t,;;. df,/?r3~IloNE tpS) -2Ji3-1"{)3;? <br />---/'~de- <br /> <br />JOB LOCATION Y9&~ ~$/fw(jtr/ L'~, <br />, <br /> <br />3f <br /> <br />ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT SIZE 6".9'" X //0 AREA SQ. FT. ;70 yo /- <br />SUBDIVISION de~ot~(",,/ ~~\ <br /> <br />OWNER <br /> <br />PARCEL 1. D. it 2/- 24- -r '5 - ()/e/6 l>D Door> 380 <br />WORK PROPOSED:~ Construction ~Addition ____Alteration <br /> <br />_Repair <br /> <br />____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~le Family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />~M/F <br /> <br />_it of lIni ts <br /> <br />,._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />____Swim., Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br />BUILDING SIZE: t;/;( X 9Z I, /~c:2 ~ ' Square Fee t, <br /> <br />/ <br />6" <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pRRM1TS REOUESTED <br /> <br />_BUILDING <br /> <br />valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service' <br /> <br />Florida power Corp. <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />/ I Foo . CD <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />~Ck <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />... <br />. . , <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />***********~****************************** <br /> <br />CONTRACTOR SECTIO~ ,/ d' II':: / <br />,Company ~/'/t>c... DC(,';~, -.::z;, c ,- <br />State Cert. or R{gis t, if <br />, City License Regi~tration ii J:ll. <br />************************************ <br /> <br />l/ <br /> <br />Signature <br /> <br /> <br />Company CCJ/l~ ~,0~/L <br />State Cert. or Regist, n <br />City License Registration 0 <br />************************************** <br /> <br />Signature <br /> <br />Ca..~^- Company' ;#r C . /~/77~~'A.9 <br />St C R'" r <br />ate ert. or eglst. " <br />City License RegistrCltion;) ~ 7 <br />*~***~************************************ <br /> <br />V' <br /> <br />,PLUMBER ~t <br /> <br />MECHANICAL ~Q/~ .?e~~ <br />Signature !/dt. ;t:b;i" <br /> <br />Company E ct?/lt) ~!'u; <br />{ r <br />State Cert. or Regist. 0 <br />City License Registration II <br />***********************K~~**************** <br /> <br />pL e,tJ~Y <br />/Db <br /> <br />S igna t~lre <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />*************************y*************~** <br />71 tlAA-<'-'1 ~ q A 4."'-J . . . . PERMIT <br /> <br />OFFICER. <br />