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<br />~ <br /> <br />^PPLICAI10~ FOR PERMIT <br />CITY OFZEl'HYIUIILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />ADDRESS <br />OWNER _I' () f.F e I} tV 2- e-/ <br />JOB LOCATION 3 9 Y ~& ;fZ.!:/~ <br /> <br />PHONE <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~" 0 3/ D .... 000 - () 0 0 "770 <br />WORK PROPOS~D:____New Construction ~Addition ____Alt~ration ____Repair ____Install <br /> <br />, <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />_t~ of Uni ts <br /> <br />._H/II <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: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) .SET ENERGY FORtIS. ,~* <br />**COpy OF CONTRACT REQUIRED. <br /> <br />rf.~trT~ ~eQYESrEQ <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~ELECTRICAL <br /> <br />Al'lP 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 />____PUTI'm uW <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 />CONTRACTOR SECTION <br />nmLDER Company <br />State Cert. or Regist. g <br />Signature City License Registration ii ~-I' ~ <br />****************************************** <br /> <br /> <br />::E:::~::;;:~/ ~~~ ~~:~:n~er::~R1~~ fIt:?;~ <br />__"_c_____ _~ ~*~~~;~*;;~~~~~:.~:~~~;~~~~~~" 173 <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration # <br />****************************************** <br /> <br />pT.mmER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ~, <br />******~*************************~******~~* <br /> <br />1'1ECHANTCAL <br /> <br />Signature <br /> <br />Company <br /> <br />State Cert. or Regist. ifr <br /> <br />City Licen,se Registration if <br />........../ i__ //" <br /> <br />*"l{;~* * *. *. ;.*)* .*15-** **r*-** * 1*~* ~'_~:h:::2.f' *~: ':: '7 i: i: ,', <br /> <br />.:;::..... >~J-V.1' .. ~::-- w...~t;tt.'-f(, PEIUlIT OFFICER. <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />