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<br />.. <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYIDIILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~\t1>AK. CbUt>'\f\.U c.:n6t.\'\' \~c.. <br />ADDRESS \.,\~ \.\'H't Ml" 'N.~"'T\-\I n~f. ('rN\~1. $2SPHONE ~J~tD7.{d)4..1 <br />OWNER .~ I t'i\\I~J~U.C.E\" <br />S~1.' .' . <br />JOB LOCATION SS2.~ . 4"T'\.\ '~~':\"1.F~\oli.'jll"\~ LOT SIZE X AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~t <br /> <br />WORK PROPOSED:_New Construction :~ddition -^lteration _Repair _Install <br /> <br />I:. <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br />~commercial <br /> <br />_Sign <br /> <br />~ ':Re.. ~OOF' _l'love <br />_tt of Units <br /> <br />_Demolish <br /> <br />'._M/F <br /> <br />__I'l/II <br /> <br />~Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cOmtERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'!S. ** <br />**COPY OF CONTRACT REQUIRED. ' <br /> <br />ERRMITS REQUESTED <br /> <br />-L.BUILDING <br /> <br />$ \1074. ~G, <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Va~uation of Mechanical Installation <br /> <br />_PLUMBIN'G <br /> <br />0'" <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />. State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />nUIT.DER <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration n <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or..Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />PLlJMRER <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />*****~.~******~**************************** <br /> <br />!-lECHANICAT. <br /> <br />Signature <br /> <br />OTllF,R 'R..o~ <br />Signature it'~ <br /> <br />Company ty] ,J3.Afl ~JJ~T1/tJCT1~AJ I lAUd <br />State Cert. or Regis t. Ii ~CC as/5I1Z <br />City License Rcgistrattofl. i! :~7 <br /> <br />" <br /> <br />'21f~;r'*~*~:;:';"""**********'*' <br /> <br />. - ~ ~ <br /> <br />PERl-lIT OFFICER. <br /> <br />APPLICATION APPROVED BY. <br /> <br />/ .,.-----~.._~.,- +<,. <br /> <br />~ <br /> <br />~. i <br />.' "i <br />......._ .l...~::': I <br /> <br />f--......,...-....~ ........---.-.-.-. ...- ....... 'k__'" <br />. , . -rl~,~ ',... ,~ ,':" _;:';;':. . ," ;. <br />I' ;u-.:'~::~ ,: . ~...::s. ~,. ','I . ; -,"" <br />'," ~.....~t .'~~ ').~:. '\l-~ ...,]t ,f ..:'_\o'~ " /, <br />~ '" ..,: 1 <br />~'''''''_'_'''''_~;'h~-~~'~~: ''i <br /> <br />" <br /> <br />..... ~. t <br />i <br /> <br />........ <br />