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<br />APPLICATION FOR PERMIT <br />CTIY OF ZEPBYRIilLLS <br />B1ITLDIBG DEPARlKENT <br /> <br />OWER'S NAKE <br /> <br />~A.J' ~ <br /> <br />,,,f~ <br /> <br />c+- <br /> <br />#1" ~.. <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCR.IYITOlli: LOI'(S) <br /> <br />BLOCK <br /> <br />SUBDIVISIOJri <br /> <br />PARCEL I. D.' <br /> <br />liORK PROPOSED:_Nev Construction _Addition _A1teration _Repair _Install <br />I <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Fallily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Resrnurant &: Hea1t:h Depart:.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOI' PLJUiIS &: (2) SEIS OF BlJILDIJriG PLANlS &: (1) SET ENERGY FORKS. ** <br />ATTACH (3) SEI'S OF BUILDlliIG PLJUiIS &: (1) SET ENERGY FORKS. ~~ <br />~*COPY OF COWfRACT REQm::RED. <br /> <br />PEmnTS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total ConstrtJCtion <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHMITCAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFllfG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_FraIIe _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR :ELEVATIONS: <br /> <br />FT. <br /> <br />IS PRO.JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*~~**~*~~*****************~~***********i** <br /> <br />COllilTRAClUR SECTION <br /> <br />CDl!fPMiY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COIIPANY <br />State Cert:. or Regist:. #i= <br />City License Registration I <br />****************************************** <br /> <br />Siamature <br /> <br />C01IPANY <br />State Cert. or Regist. , <br />City License Registration I <br />**************************************~*** <br /> <br />PUllKBER <br /> <br />Signature <br /> <br />:7 <br /> <br /> <br />OO!tPANY (.1+/-1 mt?cj ~'C~ <br />State Cert. or Regist. I <br />City License Registration' /2,v <br />***************************************~** <br /> <br />,...,---, <br />J--'V c-- <br /> <br />KECIIANI <br /> <br />CDl!fPANY <br />State Cert:. or Regist:. :f# <br />City License Registration , <br />*****************~****~**~**~************* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PE'RKIT OFFICER. <br />