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<br />; l ':.1..:,',' , <br />APPLJ:CATXON FOR PEF.NX-:r <br /> <br />CITY OF ZEPHYRHJ:LLS <br /> <br />BUILDING DEPARTMENT <br /> <br />APpmANT ; ~~ ~~:'!:~ ' ~ " , <br />::::SS -P::)C~ " ,.~ . ,.~::s:,' e }"~I FL <br /> <br />PHONE .J J..../.... D 70 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D. if / / - ;) (; .- J-( <br /> <br />. .. <br /> <br />2ej;'i~. ~ j, t / (j' LOT SIZE X <br />I ( <br />BLOCK SUBDIVISION <br /> <br />AREA SQ. FT. <br /> <br />JOB LOCATION ~ fl/ 0 r:;(.)4 [;'. <br /> <br />WORK PROPOSED:_Neh7 Construction _Addition ~Alter:)tion _Repnir -X-Install <br /> <br />_Sign/Temp. <br /> <br />~Sign <br /> <br />_~love <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />_fj of lIni ts <br /> <br />.._I'I/H <br /> <br />-X-Commercial <br /> <br />-':"-Indust. <br /> <br />~Swim.. Pool <br /> <br />Other <br /> <br />_Restaurant & IIealthDepartment Approval <br /> <br />BUILDING SIZE: <br /> <br />X <br /> <br />, , <br /> <br />Square Fcc t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COM1-1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />ATTACH (3) SETS. or BUILDING PLANS & (1) SET ENERGY rORl'ls. H <br />*~COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTEQ <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />Al'IP 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 />_PLUMBING <br /> <br />- <br />'X <br /> <br />~ <br />~ <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />~ <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 />Company <br />State Cert. or Resist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />mnLDER <br /> <br />Sigonp.ture <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert, or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />Si!!nature <br /> <br />.PLUMBER <br /> <br />Company . <br />. State Cert, or Regist. U <br />City License Registration 0 <br />****************************************** <br /> <br />Signature <br /> <br />/'IECHANICAL <br /> <br />Company <br />State Cert, or Regist, 0 <br />City License Registration U <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />Signatucfd1, ~~'./ <br /> <br /> <br />**** *** ********* <br /> <br />Company ~14 oD ~~ CS'L S' <br />State Cert, '01.' e~ist. fJ 3709 <br />City License Registration U -35. '7 <br /> <br />APPLICATION APPROVED DY <br /> <br /> <br />PERl-lIT OFFICER. <br />