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<br />OWNER <br /> <br />; ,t'::i.:,I,. <br />APPL'ICATXON FOR PERN"LT <br />o ~Df,fer / 3'> 57- it CITY OF ZEPHYRJULLS <br />CI-YS-f,1L SpJ/l.//I'J5 1~t..:J BU1.LD'ING DEPART~ENT <br /> <br />,. , " ( ,', " <br /> <br />IS Vf2..!t'J,v t.' P#/i.p~fr;iG~f'~ PIf/J#~/~1 <br />, ./ <br />.5 2-06 2-0 -Lv, Sf ..:'>,:. 2 .e.t1-ti 7f/'11///( PHONE <br />, ( <br />Su ~ fOfA./ ''f p)/n. /rf34..' .' .,:', ' <br />, ' <br /> <br />26 Lh. 5 f " <br /> <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />" <br /> <br />Jon LOCATION 5206 <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 1. D .11 <br /> <br />~r <br /> <br />_Install <br /> <br />WORK PROPOSED:_New Construction ----Addition _Alteration <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_!'Iove <br /> <br />_Demolish <br /> <br />PROPOSED USE: -,-Single Family <br /> <br />~/F <br /> <br />_1~ of Uni ts <br /> <br />.._H/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 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 FomlS. **' <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~RRMITS RROUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />V~luation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />_M~CAL <br />bLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. ' <br /> <br />****************************************** <br /> <br />, CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration 0 <br />****************************************** <br /> <br />nUTLDER <br /> <br />Signature <br /> <br />SiO'nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />'PLUMBER LOPll're f?/v/V16/b"j Company 0- C~V'v1f>.e OIc.)p;N~7- <br />jJ ~ State Cert. or Regi~t. ;,f "" G (2-f1~ <br />Signature 11' ~ (; ou..~ ./ --. City License Regis,tration it !7_7 <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration J <br />****************************************** <br /> <br />MECHANICAl, <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 1 <br /> <br />OTHRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />************~************************** <br />'11 cl/jo "', ~ .." /I c>."l . <br /> <br />PERIHT OFFICER. <br />