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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlIILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME h;AI k7<oc.lfJe.;") <br />OWNER'S ADDRESS (<g703 Ch~" dl6 Dr <br />JOB ADDRESS S. Yro ,,(;tJ(f Blue" <br /> <br />Lv 1'Z <br /> <br />PHONE 8/J.- CfYCf - /7 BY <br />rl "33 SYCf <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D, I <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />~i <br />---- gn <br /> <br />Move <br />--.-- <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />leow..ercial <br /> <br />____H/F <br /> <br />____, of Units ____H/H <br /> <br />____Indust, <br /> <br />____Swim, Pool ___Other <br /> <br />____R~$taurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: ONe. <br /> <br />f:blp <br /> <br />S-(~,..J ) 7(,.10 W~(( .:5(JrJY ~ Two f),;-('cf-(~~A' 5~~J <br />Square Feet. Height <br /> <br />BUILDING SIZE: X <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (31) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br /> <br />/BUILDING $ 2qocJt) Valuation of Total Construction <br /> <br />~ ELECTRICAL(S(J~ AMP Service Florida Power Corp. ~W,R,E,C, <br /> <br />____HECHANICAL $ Valuation of Mechanical Installation <br /> <br />_PUJHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____FrUle ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEV~1IONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />........................................*. <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />'-,'}} C~MPANY RyAN -MArk/~fJd S(bt'J, C<.~ <br />'" ..,/'J~---0~State Cert. or Regist.I h.. S 00000 ~:;' <br />0--,~~- ( - ~ City License Registration" " <br />*.***** .****************.***.********.** <br /> <br />Signature <br /> <br />ELECTRICIAN, ~~' O' . 'COMPANY IfrIlN - MA~(A.vA ~12:'~JJi,dG" <br />~~ 'r ~te Cer . or Regist, t E.. () "ij>-a> <br />Si211a.ture .' ,. City License Registration f , <br />. ~**ri** *.**.*.*****.**************** , <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist, , <br />City License Registration * <br />..**......*.*.............*.......******** <br /> <br />Signature <br /> <br />KECHANIGAL <br /> <br />COMPANY <br />State Cert. or Regist, j <br />City License Registration , <br />****************************************** <br /> <br />Signature - <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.*.*****.**..************..****.**~******* <br /> <br />I, r ' <br /> <br />!lllIER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />