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<br />APPLIC~.~OR FOP PEP.KIT <br />CITY OF ZEPHYImILLS <br />BUII.DIIiG DEPARJ1!IE'.N1' <br /> <br />OWNER'S HAItE ~~~O, Spee~ <br /> <br />OWNER'S ADDRESS '3'7 '7 'J .;z Iv) ~..I1l::> ~ ~D <br /> <br />moNE <br /> <br />7f55~ 't~~1 <br /> <br />JOB ADDRRSS <br /> <br />'-SC)7 '7 .~ <br /> <br />11'1 C5ADbW lA)~~)\) <br /> <br />J-OOD <br />( <br />.)...Ocrp <br /> <br />LEGAL DESCRIPTION: UJI'(S) <br /> <br />BJ..OGK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.I /3 - :;;; (;, - c2 / -,I 4 - 0 ,- Lf <br /> <br />~RK PROPOSED:_l!iev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_l!Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Sing1e Faaily <br /> <br />_K/F <br /> <br />_, of Units. <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_S.n.. Pool <br /> <br />Other <br /> <br />_Restaurant 5: Hea1t:h Departaent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~e Feet, <br /> <br />Height <br /> <br />, RESIDENTIAL: <br />cottHKRCIAL : <br /> <br />AtTACH (2) PLOI' PLARS 5: (2) SEI'S OF BUIIJ)ING PLUS 5: (1) SET ENERGY FORKS. ** <br />ATI'ACII (3) SEI'S OF BUII.DDIG PLARS 5: (1) SET ENERGY FORKS... <br />..COPT OF CONI'KACT IUlQUIRED. <br /> <br />PElmITS REQUESTED <br /> <br />_BUILDIRG <br /> <br />$ <br /> <br />"'5""5 ~,'3 <br /> <br />Valuation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBIWG GAS :ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: _Block _Pralle _Steel <br /> <br />Other <br /> <br />FTInSHED FLOOR ELEVATIOl!iS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..................**............*..*...... <br /> <br />COIlI'RACIOR SECl'ION <br /> <br />BUILDER CO!IPANY <br />St:ate Cert. or Regist. , <br />Signature City "':..icense Registration , <br />......*....****..***..*.*............****. <br /> <br />ELECTRICIAR CO!IPMY <br />State Cert. or Regist. , <br />Si~t:ure City License Registration I <br />........**....**..**......*...*......*.... <br /> <br />PL1JKBER CO!IPMY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.........................**....*..*.*..*.* <br /> <br />KECllANICAL CO!IPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />...........**.**..........*...........*.** <br /> <br />OTHER CO!IPARY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......*......~.......***..........*...... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />