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<br />..:::::~~',: . <br /> <br />^PPLIC^TION FOR PERf-lIT <br />CITY OF ZEPIIYRJIILLS <br />nUILDING DEP^RTMENT <br /> <br />'T,.,T>JER <br /> <br />:);GC <br />'3 1Sl '<.. (:) <br />~.~ <br /> <br />\},(104'0 * <br />~~ A-~ <br />\)~(~\.:.- <br /> <br />2.. 4.b 'l~. ~\A- <br /> <br />_PHONE <br /> <br />'( 1)2..- ~ ~.6 <br /> <br />,\ PPLICANT <br /> <br />\DDRESS <br /> <br />'. <br /> <br />,;on LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />~EG^L DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />P,\RCEL I.D.~~--1l'" z.~- Zl- o6u1b - n<\"O <br /> <br />',,'ORK PROPOSED:_Ne\.J Construct.ion _Addition _Altel'otion _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />...J---Sign <br /> <br />_~Iove <br /> <br />_Demolish <br /> <br />_Commercinl <br /> <br />_Swim,. Pool 1,V1 ~4,4(J... f <br />_Res UICl1:nnt [, Health Department APproval <br /> <br />_M/F <br /> <br />_i~, of Units <br /> <br />,._M/H <br /> <br />PROPOSED USE: _Single Fnmily <br /> <br />Other <br /> <br />_Indust, <br /> <br />BUILDING SIZE: <br /> <br />X_, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cOmlERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF nUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF nUILDING PLANS & (1) SET ENERGY FORMS. ** <br />**COpy Of CONTRACT REQU1.RED. <br /> <br />~EQDESTED <br /> <br />_BUILDING <br /> <br />s 2.(~q ~. <br /> <br />Vriluation of Total Construction <br /> <br />~ f) .... <br /> <br />~LECTRICAL <br />~MECHANI~~ <br /> <br />M1P <br /> <br />Service <br /> <br />Florida power Corp. <br /> <br />_W.R.E,C. <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />__PLUMBING <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 ELEVi\TI0nS:__FT. <br /> <br />~*******************~********************* <br /> <br />..cD NlIZ.L\Q:QE .sl&llilll <br />COnl[lany <br />StaLe Cert. or Regist, ~ <br />City License Registration D <br />************************** <br /> <br />Il\l1T.DER <br /> <br />Company <br />. State Cert. or Regist, 0 <br />_ City License Registration 0 <br />~****~**~r***********************~:********* <br /> <br /> <br />Signature <br /> <br />::::::,::~/L() <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, 6 <br />City License Registration i~ <br />*******************~********************** <br /> <br /> <br />Company p~ ~~ <br />State Cert, or Regist. 0_ <br />CiLY License Registration 0 <br />****************************************** <br /> <br />, 1...1-' <br />m~ <br /> <br />PLUMBER <br /> <br />7z-.~ <br />(!JOSS- <br /> <br /> <br />APPLICATION APPROVED nY <br /> <br /> <br />Company <br /> <br />State Gert. or Regist. 0 <br /> <br />City License Registration ~ <br /> <br />, <br />it it 1: J ~* * i, * * ***i"" in', i:1:1, * -1,***1< 1, <br /> <br />'. <br /> <br />.oTHER <br /> <br />Signature <br /> <br />PERMIT OFFICER. <br />