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<br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPHYRlULLS <br />BUILDING DEPARTl'1ENT <br /> <br />OWNER <br /> <br />j-y'qNZ- ja yll( <br />3 '7 (1 I .z.. :f it; 1[;./ c <br />/~/VI J/ 213 t/f;" f-I; <br /> <br />PHONE f{'':.f"- / .S'. -7' 7 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />,) -; 'j I -2.. (ji-Y: ~ <br /> <br />Ill-, ~, <br /> <br />LOT SIZE .<)'-L/ X / (, L; AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D .l~ <br /> <br />iJ~ <br />~ditio~lteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />WORK PROPOSED:_New Construction <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_~love <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />-.:...-M/F <br /> <br />_i~ of Units <br /> <br />,._M/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 Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COH1'1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'lS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.-H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~F.RMTTS REOUESTED <br /> <br />~BUILDING <br /> <br />$ 1/ ()zJ . tJ7) <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 />" <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 />* **** *-i, *-i'*'************* * * -i,* 1,,~ -i, -i, * ,', ,', ,',of, -I, ,', *." *." <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. U <br />City License Registration 0 <br />****************************************** <br /> <br />BUTT.DER <br /> <br />Si!?nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ET .ECTRT CT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER ~ <br />Signature '~C.c/2. /}tJ~ <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />APPLICATION APPROVED BY ~;;:;'2f:~~:;:;;:;:"**"***'****'** PERMIT OFFICER. <br />