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<br />... <br /> <br />APPLICATIOlSl FOR PFJMlT <br />CUY OF ZEPHYIaIILLS <br />'3UTILDIlSlG DE'.PARYmJ'M <br /> <br />OWER'S NAKE O\Ve...rsi~,'eJHe-\i-~ CeV'\+er~ .Io""Ic..~ <br />OWNER'S ADDRESS b 8 \ &ooJ le+\ e... ~ oo..~' <br /> <br />mONE 81"2>- 64~-1 bbt, <br /> <br />JOB ADDRESS <br /> <br />rV\eJ.icc:..t <br /> <br />A,,1s <br />3 <br /> <br />Co,",,,.\-. ZeF7f' k.' It:,., rFL-,. <br />BLOCK______SUBDIVISIOlSl <br /> <br />LEGAL DESCRIPl'ION: I.OT(S) <br /> <br />PARCEL I. D.I <br /> <br />h"ORK PROPOSED:Looew Construction ~ition ____Alteration _Repair _Install <br /> <br />____Sign <br /> <br />_I!fove <br /> <br />_Deao.lish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_!1f./F <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />____~rcial <br /> <br />____IndUlS t. <br /> <br />_S~. Pool (l1eJ.ic.c... \ f+ot.eJ..v'~Ot:her <br /> <br />____Rest:anrant & Bea1th Deparbleo.t Approval <br /> <br />BUILDING SIZE: q ~ X Cf 8, <br /> <br />7 6"4J <br /> <br />Square Feet, <br /> <br />-;;l...b <br /> <br />Height: <br /> <br />RESIDENTIAL: <br />cottKERCIAL : <br /> <br />A'ITACH (2) PLOT PI..l\.RS & (2) SEIS OF BlJJIIJ>UiG PL.AIIS & (1) S:E::T E'NERGY FORMS. U <br />ATTACH (3) SEIS OF B1llI.DllifG PI..l\.RS & (1) S:E::T ElSlERGY FORKS. ** <br />**COPY OF COl!il1"RACT REQMRIlD. <br /> <br />-LBillLDING <br />~ELEcrRICAL <br />~HECHANICAL <br />~PLUKBING <br /> <br />PElMITS REQUESTED <br /> <br />$ ( j lLoo, 000 Valuation of Tot:a1 Construction <br />/ ' <br />:;z 0 0 MfP Ser..ice Florida Power Corp. <br />$ I a.d. O,.r),"l~ <br />~ \ -lj Vv Valuation of Mechanical. Installation <br /> <br />W.R.E.C. <br /> <br />GAS <br />LBIOCk <br /> <br />ROOFING <br />____Fr~ ~tee.l <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION': <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />/" <br /> <br />FIHISBED FLOOR ELEVATIONS: I DO FI' . <br /> <br />YES NO <br /> <br />************.*******.*.******************* <br /> <br />BUILDER <br /> <br /> <br />COIHI'il"RACT'OR SECTION <br /> <br />ClOI!tPMIIY Jc.) l"" F G....ve. r <br />State Cert. or Regist. , <br />City License Registration <br />.**..***.*.*.....*.*~********.*.*....**.** <br /> <br />J be.. We h" c........\..\-r"c..-tOl'O:' <br />C (:r c.. 034- I 3 ( <br />, .3 f?t) <br /> <br />Signatur <br /> <br />ELECTRICIAN =-~ aJ!IPABY A I l r h t4 se- E I e.c. +,. i c.- <br />SiJm3C:~~~ -;- ~~eL~~eo;e:~:~~~i:n , E~~:,o};~ ~/.2~/?~.2 ~7 <br /> <br />...**.*.**.......****..............*..**** <br /> <br /> <br />PLlJJKB~~ ~?I!:-~ CUltPMY Jc:>I.f>~i"\; Mech...",; t...c..\ <br />~ State Cerl:. or Regist:. , c... ,..., c.. c> 0 8/31 <br />Signature City License Registration I C- Fe.. 0;;1.. '-5'"6=> 13~ <br />.:: =~-!."~- ':"'!:-....:'~.~I!::"!'":-!!:~:.-.::.~,.~. '~~~.:_- .'!~ ;':'.~_-'. ~:...::-.~7~~.~~.~~-'!::~."!!..-!:-!':-~.~..::.:. ~1'.. <br /> <br />MECHANICAL . cnllfPMY T..... ~fO J...., " <br />~~ < Stat_ Cert. or _gist. I <br />Signature ~ C;ity License Registration <br />*.*.*****.**~*.~***...~*.*.**..***.***..** <br /> <br />(V\ e. c. ""' c... ~ ; Co... \ <br />Co. fYJ c.. 00 e l'3 1 / {9 ;;.<.. <br />I eFt. 0 ~b S"b~- ,~ <br /> <br />OTIlER <br /> <br />Signat:nT~ <br /> <br />~a:l1PANY <br />State Oert. or Regist. , <br />City License Registration , <br />*...***.*.*.*.****...*~**.**......*..**..* <br /> <br />APPLICATION APPRO""" BY J1 a .M.AJ~1- ><!1 e/l4h_:T- <br /> <br />PERKlT OFFICER. <br />