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<br />APPLICATION FOR PHRHIT <br />CI'IY OF ZEPHYImILLS <br />B1DII.DllIG DEP.AR.'I'KEKT <br /> <br />~L<'.~;e" Ij-/{J-'if . <br />J(.r05?~ <br /> <br />OWNER'S ~'RDSS ~eiZ-ftbl:<::' <br /> <br />PIlOn <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS 377 ~Y !\/eLDA-l_ (fus.- '2-e..nhdr-- K>tcla t" ~ <br />C'6 ;)t..> ~;l.1 - C> 13 _ c - OC:::O.&I 0 ~, D '-:J <br />LEGAL DESCRIPTION: IJJI'(S) Il10CK SUBDIVISION <br /> <br />PARCEL I. D.I <br /> <br />WORK PROPOSED:_!NI'ew C'onst:ruct:ion _Addit:ion _Alt:erat:ion _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Sing1e Faaily <br /> <br />_KIF <br /> <br />_, of Unit:s <br /> <br />_K/H <br /> <br />_~rcia1 <br /> <br />_Indust:. <br /> <br />_S,"-. Pool, <br /> <br />Ot:her <br /> <br />_Restaurant: &: Realt:h Depart:.eo.t: Approva1 <br /> <br />BUILDUIG SIZE: <br /> <br />x <br /> <br />Square Feet:. <br /> <br />Height: <br /> <br />_ RESIDENTIAL: <br />cottKE.RCIAL : <br /> <br />ATTACH (2) PLOT PLUS &: (2) SEIS OF BUILDING PLMilS &: (1) slrr ENERGY FORKS. u <br />ATTACH (3) SEIS OF BUII.DUG PLMiIS J< (1) SKI" DERGY FORKS. ** <br />**COFY OF CONTRACT lUlQ(lJIRIlD. <br /> <br />PERl!lITS REOUESTED <br /> <br />~BUILDIHG <br /> <br />$ ~Lj5D ,DO <br /> <br />_Va1uat:iOll of Tot:al Const:ruct:ion <br /> <br />_ELECTRICAL <br /> <br />AftP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAlUCAL <br /> <br />$ <br /> <br />Va1uat:ion of Hecbanica1 Installation <br /> <br />_PLUKBIHG GAS KOOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _~ _St:eel <br /> <br />Ot:her <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PRO.JECT IN FLOOD ZONE ARFA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />COII'I'RACIOR SECTION <br /> <br />CDfPMY -:Bv-,/.J Jl711S01l./te~ <>i-(!Frn ~r1i-- /nC-.. <br />Stat:e Cert:. or Regist. , <br />~/ Bop (;.p Cit:y License Regist:ration' 'Ii <br />--**************************.*************** <br /> <br />Signature <br /> <br />ELECTRICIAN CDfPMiY <br />Stat:e Cert:. or Regist:. , <br />SiPn~t:ure City License Regist:raLion I <br />****************************************** <br /> <br />PLOKBER CDfPMY <br />Stat:e Gert:. or Regist:. I <br />Signature City Licease Regist:rat:ion I <br />****************************************** <br /> <br />tUtCHARICAL CDfPANY <br />Stat:e Cert:. or Regist:. t <br />Signature Cit:y License Registrat:ion I <br />****************************************** <br /> <br />O'I"IIF.R CO!IPANY <br />Stat:e Cert:. or Regist:. , <br />Signature City License Regist:ration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />