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<br />APPLICATION FOR PERmT <br />CITY OF ZEPlIYRIIILLS <br />BUILDING DEPARTMENT <br /> <br />It c.. ;; 1)1-11 PI <br />DDRESS J f SV.5 f>fJj..PJ &R./)tJ~ <br />IWNER rlblU 50 .$'. ~P;>I)J..II ~IJ.. ,f## /1111'S <br />, <br /> <br />iOB LOCATIONlar.l/ .?rt1$O MP//}-tV/)# A.btJ~ LOT SIZE~X /1)0 AREA SQ.FT. ?(fP <br />.EGAL DES~RIPTION: LOT(S) / r BLOCK db SUBDIVISION .;)0 <br />t?/6tJ - tfJpt:/LJ~ - C9tJ?p <br />laRK PROPOSED: ~w Construction _Addition _Alteration _Repair _Install <br /> <br />PPLlCANT <br /> <br />jJl/.. . <br /> <br />PHONE 71'..J -;)."-1'" <br />cr; ~.sr J#fm <br /> <br />)ARCEL I. D .I~ <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />~ROPOSED USE: _Single Family <br /> <br />_"'F <br /> <br />_I~ of Units <br /> <br />,_M/II <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: 1/ X ~ I <br /> <br />//0 <br /> <br />Square Feet, <br /> <br />I} 7-" ?' <br /> <br />Height <br /> <br />RESIDENTIAL: ATTAal (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS... <br />(;OmlERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORt-lS. U <br />**COPY OF CONTRACT REQUIRED. <br /> <br />/ BUILDING <br /> <br />PERMITS REQUESTED <br /> <br />$ <br /> <br />7tJPd"O~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS <br />TYPE OF CONSTRUCTION: _Block <br /> <br />ROOFING <br />~rame _Steel <br /> <br />SPECIALTY <br />/lLIA /11. Other <br /> <br />FlNISJlED FLOOR ELEVATIONS: FT. <br /> <br />, , <br />****************************************** <br /> <br />Signature <br /> <br />fA y L)PJf//~I...s CONTR~~~~~n~ECTION ACE /lL-JI /11, " I <br />/J/J.~/ ..,t;- i1 . Sta~e Cert. or Regist. i~ CAcz> .:r'l"'6 <br />~ City License Registration j~ /bC> <br />****************************************** <br /> <br />.lilll I.DF.R <br /> <br />ElECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />S.ignature <br /> <br />~~~nature <br /> <br />Company <br />State Cert. 0' Regist. # <br />City License Registration # <br />****************************************** <br /> <br />nUMBER <br /> <br />Signature <br />M <br /> <br />Company <br />State Cert. or Regist. # <br />City License Hegistration # <br />************************.***.******.*.**** <br /> <br />I1ECHANTCAI" <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTIIER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PER~l1T OFFICER. <br />