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<br />. <br /> <br />APPLICATION FOR PERl'IIT <br />CITY OF ZEPHYIDIILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />viA Lf.€(. <br />G:, I J, L{ <br />WR-d-c IL . f <br /> <br />L, <br />Iql4 <br />J;;~tJAJF <br /> <br />SeA \lEY <br />sf <br /> <br />c::.EA\JEy <br /> <br />LOT SIZE~Xl2.2..1'Z.AREA SQ. FT .13f03 .'J.- <br /> <br />SUBDIVISION '2:GPHyR..Bf€t; eGo St48.P;V' <br /> <br />PHONE <br /> <br />'78';). -c?J'o 9 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br />LEGAL DESCRIPTION: LOT(S) I " <br />PARCEL I.D.t~ / j- Z- ~ - L <br /> <br />BLOCK <br /> <br />( <br /> <br />WORK PROPOSED:____New Construction ____Addition -^lteration _Repair _Install <br /> _Sign/Temp. ____Sign _Hove _Demolish <br />PROPOSED USE: ____Single Family ____M/F _t~ of Uni ts .._M/H <br /> _Commercial ____Indust. _Swim. Pool ~CAJCt:= Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />pERMITS REOUESTED <br /> <br />valuation of Total Construction frlaT.Q/U~ olO~ill(l- <br />OW ~ +.v ~S' 1'Cl.lLJL (j <br />Florida power Corp. _____W.R.E.C. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />4004SL <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />fC:lIlcc::-' Other <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />}3U1LDER <br /> <br />S i !!na ture <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET .ECTRT CT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ;! <br />City License Registration ff <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration a <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~~~~,;;::;:::**************** <br />17 <br /> <br />PERMIT OFFICER. <br />