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<br />,\!'PLICATION FOR PER!'lIT <br />,.l TY OF ZEPBYRlIl.LLS <br />I\IILDING DEPARTt'IENT <br /> <br />APPLICANT --:::>v-l..:J 5"'.a~ D~ <br />ADDRESS ?:t,S 2f-.. ~ """R.t~ ~J.- ~kP~~~ \\ ~ PHONE 7fS'~3 - f5jC)-S" <br />m\NER ~<Z.5~L. ~L.IC-)(~^ _ <br /> <br />JOR LOCATION ~~C):/~ ~~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT SIZE~X I(J::) AREA SQ.FT. <br />SUBDIVISION lJ.:>1~~~ t'Y\ ~ ~ <br /> <br />~.. <br /> <br />PARCEL I. n . l' <br /> <br />WORK PROPOSED:_New Construction -x'Addition _Alteration _Re.pair _InsLl' 1 <br /> <br />_Sign/Temp. <br />PROPOSED USE: 2s;LSingle Family <br /> <br />_Sign <br /> <br />_l'lo\.e <br /> <br />_Demo I ! ..,h <br /> <br />_M/F <br /> <br />_iF of Uni ts <br /> <br />_N/B <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />__Swim. Pool <br /> <br />Othel <br /> <br />_Restaurant & Il":llth Department Approval <br /> <br />I\UILDING SIZE: <br /> <br />I I <br /> <br />xfL. . <br /> <br />Square Fee t.. <br /> <br />1.32 41 <br /> <br />lie 1 ht <br /> <br />RESIDENTIAL: <br />CO!'lNERCIAL : <br /> <br />ATTACH (2) PLOT PL.\~S & (2) SETS OF BUILDING PLANS & (1) SET ESERGY FOR~~.** <br />ATTACH (3) SETS m l.lUDING PLANS & (1) SET ENERGY FORNS."'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />I'ERHITS REOUESTED <br />~ <br />11 (&)1) -.0 Valuation of Total Const.ruction <br /> <br />_ELECTRICAL <br /> <br />ANI' Service <br /> <br />_.__..Florida Power Corp. <br /> <br />_h".R.E.C. <br /> <br />'f" <br />_~IECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical lnstallation <br /> <br />_PLl'MBING <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 ELEVATIONS: FT. <br /> <br />*********d******************************** <br /> <br />Signature <br /> <br /><lIP ~Qc <br /> <br />CONTRACTOR SECTION ~ <br />Company J W ~ <br />State Cert. or Regist. ~ <br />City License Registration " <br /> <br />/k.t) ~ I( <br />7,7 <br /> <br />BUILDER <br /> <br />*********~***********~******************** <br /> <br />EIFCTRTCIAN <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration ~ <br />****************************************** <br /> <br />Siznature <br /> <br />Company <br />State Cert. or Regist. c <br />City License Registration :i <br /> <br />PLL'!'tHfR <br /> <br />Signature <br /> <br />********~~**********.'~;******************** <br /> <br />Company <br />State Cert. or Regist. ~ <br />Ci.ty License Regist.ration .. <br /> <br />HECHANICAL <br /> <br />Signature <br /> <br />*******:;*::******************************** <br /> <br />Com;Jany <br />Sta~2 Cert. or RcgisL. c <br />City License Registration y <br /> <br />OTHER <br /> <br />Signature <br /> <br />*******~~~******************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PER~IIT OFFICER. <br />