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<br />APPLICATION FOR PERr-iIT <br />CITY OF ZEPHY:UULLS <br />BUILDING DEPAR'l'HENl' <br /> <br />APPLICANT <br /> <br />C~Sl\~~LL1l0N <br />ADDRESS q,77'i to GLA-DGs ~'G- PHONE <br />OWNER '}oltN 1 TA-N6 'Ko6J.\.N' . <br />.-.- . G~~'I . . <br />JOB LOCATIONLo\ 'l.,'3>-A ~lW6lt . <'~U> ~ <br />LEGAL DESCRIPTION: LOT(S) Z 3-A BLOCK <br />PARCEL I.D,~~ 3 -;;26 - J-/ -'/;;l.- 0 - ::2..3 A <br /> <br />Gr. L. 5T6J 6 <br /> <br />182.. '- '1 f...{l{ 2 <br /> <br />'. <br /> <br />LOT SIZE ~O X/~o AREA SQ,FT,cr75'"o <br />SUBDIVISION~L,V~ ~~~ <br /> <br />WORK PROPOSED:~New Construction ~Addition _Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign/Temp, <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />....:..-M/F <br /> <br />_i~ of Uni ts <br /> <br />, ._M / H <br /> <br />_Commercial <br /> <br />_Indust, <br /> <br />_Swim,. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br />BUILDING SIZE: 53)c'X 2G ~ 'C Square Fee t, Z/2:.,D <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 FORl'lS, ** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMTTS REOUESTED <br /> <br />~BUILDING <br />LELECTRICAL <br />LMECHANICAL <br />-f-PLUMBING <br />TYPE OF CONSTRUCTION: <br /> <br />$ b8J Lf oS- <br />?PO <br />Z1.60 ~ <br /> <br />valuation of Total Construction <br /> <br />AMP Service <br /> <br />~ <br /> <br />Florida Power Corp. <br /> <br />_H.R,E,C, <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.; 0.. . <br /> <br />_Block <br /> <br />-K-Frame <br /> <br />_Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: q~ FT, <br /> <br />****************************************** <br /> <br />BlJTLDER <br /> <br />CONTRACTOR SEC~ij <br />. Company L S1Cfv6 GoNS.l)e...c1lDN <br />~ 1A----' . State Cert. or Regist, il C6CO't."Z,..l~q <br />Signature ~. City License Registration il IBI <br />****************************************** <br /> <br />ELECTRTCT AN ~ ~ \ C ~ ,,2 ~r--. Company -z.... -\-\. ~~ \:- '-. c'-. ,-. <br />. <br />r- ~~ State Cert, or Regist. 11 000 <br />Si!!nature . :'- ~ City License Registr<ltion iF <br />~ * *"* * * * * * * * * * * * * * * * * * '" ,< * *"* * * -I: ,', 1, ,', 1, * ,~ ,', 1, .;, -I: * <br /> <br />~€(lv <br />:L t l,~ <br />,0 <br /> <br />Signature <br /> <br />dz -~ ;5 &da . ~~:~:n~erf:--/f!;[:~J!,AJ;1( l~~~f0 <br /> <br />:..tA ';:1. City License Registration il S 7 <br />. *"'**************************************** <br /> <br />. PLUMBER <br /> <br />MECHANICA1. Company ~;1/1~'.s ~...eofl"" IV [ G~J.tL ~ tC. ..r A/c" <br />~ State Cert. or Reg1st. il CAc.ol/3"Y,e <br />Signature ./C- -/ d'~ . City License Registr<ltion ii' 79 <br />, *****k************************************ <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. 0 <br />City License Registration 1 <br /> <br />OTHER <br /> <br />APPLICA nON APPROVED BY 0;4':*.JJ:::';;::/ ......~ * **.. * ****** * PERMIT OFFI GER. <br />