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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRlULLS <br />BUILDING DEPARTMENT <br /> <br />APPUCANT '0 Tc,rl, .~. .1",0.: ~...o.. "",-. <br />-Jt-b .' U <br />ADDRESS ~o.~ ~O '\9,~k \,-",,~..-. Z-\~'\\S <br />OWNER f,. --,-\ - <br />JOB LOCATION1~C)() Ll <br /> <br />PHONE <br /> <br />') ~y- C( 5" S b <br /> <br />~. <br /> <br />PARCEL 1. D. j~ <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Ins tall <br /> ____Sign/Temp. _Sign _Hove _Demolish <br />PROPOSED USE: ____Single Family _M/F _j~ of Units ' .____M / H <br /> _commercial _Indust. ____Swim. Pool Other <br /> <br />BLOCK <br /> <br />LOT SIZE X AREA SQ. FT. <br />SUBDIVISION SI \\)~'(L.. C]",l:<:: <br /> <br />~ <br /> <br />\.\1.JV'41l V'ol~') ~ _ (>... . '2 ,1-11 l \ <; <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />X <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDINC PLANS & (1) SET ENERGY FORMS.-- <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~RMITS REOUESTEU <br /> <br />____BUILDING <br /> <br />$ <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 />,'" . <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />. <br />_PLUMBING <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ~ <br />City License Registration ~ <br />****************************************** <br /> <br />ruJ1LDER <br /> <br />Signature <br /> <br />Si!:mature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration a <br />****************************************** <br /> <br />= <br /> <br />f,T ,ECTR1 C1 AN <br /> <br />Company ~ v \P.) '^" \' \. v- " \. '{ ,... l' \ u ~ <br />State Cert. or Regist. a <br />City License Registration 4F 5'bO <br />****************************************** <br /> <br />= <br /> <br />PLUMBER Q",-ry.:-.L , <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, a_ <br />City License Registration a <br />****************************************** <br /> <br />= <br /> <br />l'jECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration # <br /> <br />QTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************;'* <br /> <br />PERMIT OFFICER. <br /> <br />..I <br />