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<br />APPLICATION FOR :CERI't:T <br />CITY OF ZEPHYHE;:'LS <br />BUILDING DEPARTMENT <br /> <br />Oi-.'N ER ..... <br /> <br /> <br />2?({) <br />AC;J;AfT <br /> <br />--.\OfiN 1', 6tHo~T <br /> <br />u.J BRA DDOe k:' PIlONE Yr5 - ,::l.d.3 - r 137 <br /> <br />)1~6 AL)J1A R05L) - PALM'EK ,5Fj2FA~) <br />""""y J-~ -L 0 /rL. <br />7- L J ,::.. .) .3 -- -I..A'fiOT SIZE_X_ I\REA SQ. fT. <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />B LO CK...- <br /> <br />SUBDIVISION <br /> <br />, PARCEL I. D. !.! <br /> <br />II 20 d-I {J6 (D I sJDD <br /> <br />OL:k'S""O <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~ Repair ~Install <br /> <br /> ____Sign/Temp. _Sign r[ove ____Demolish <br />PROPOSED USE: LSingle Family _M/F it of Units .____~I/ H <br /> RE"PLACF 8 \)./ [tJ P005 <br /> _Commercial _Indust. _Swim. Pool 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 />COmlERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~IS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORrIS, ,.,* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PEPJIITS REQUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />20(]O <br /> <br />ot:) <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />ANP Service <br /> <br />_Florida Power Corp. <br /> <br />_\\.R.E.C. <br /> <br />____~lECHANI CAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUHBING <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 ELE~\TIONS: FT. <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION -rJ. <br />Compmy -rHU!?O - E'Crk <br />+ ~ ~ . State Cert. or Regist. .'i R.CJOIf,.;J.CJIS- <br />, C~ty L~cense ReglsLrnLlnn :.' . 8a <br />.J..J~.'- ..'. J..._ * J.* J. * * **'" * * *", J~,..t.;_.J.. .'. .'. J...t..;_ .'. .'.. .', .'. .,.................-. <br />.. ~ 6" n ... '. . " ~,~ ,~.. , ,. J~ . ," .. .. .... . n ..... ",. ,. .. ,. .. .. ., .. ,. .. <br /> <br />Signature <br /> <br />ComVll1.y <br />State Ccrt. or Regist. ~ <br />Cit; Li2~nse Registration <br /> <br />ELECTRICIAN <br /> <br />Si~n;1t\lre <br /> <br />*****~**************~****~**************** <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration ~ <br />****************************************** <br /> <br />PLL'l'IRER <br /> <br />Signature <br /> <br />Com:Jany ___ <br />Stat.e Cert. or Re(::~s t. " <br />Ci.ty License H.egistr:1tion :: <br /> <br />~lECHANIC:\I <br /> <br />Signature <br /> <br />**********************************~~:****** <br /> <br />Coml~any <br />Sta~e Cert. or Regist. 1~ <br />Cit~ Li.cense Registration <br /> <br />OTHER <br /> <br />Signatu!:'c <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PER~i1T 0FFlCER. <br /> <br />" -' ~ <br /> <br />." ".; " <br /> <br />....' -~." " <br /> <br />". " '(~ <br /> <br />"I <br /> <br />., (4-. .:' <br /> <br />,". .. ..--- <br /> <br />1':~.~ o}-,_u.-j ;' v~.:..!. ':;"i'~ \~.~ <br />