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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYlUIILLS <br />BUILDIRG DEPARTHERT <br /> <br />owtiER's ADDBBSS <br /> <br />P R (~J<~_ <br />S-O /~ <br /> <br />fL0.L'e YY7./-/ 2AL'k'S <br />L err? o/'-' .5!;sI- <br /> <br />PHONE 25/3" G:> S 3-- Y~7 S- <br />~/}-e- 3 3~O ,9 <br /> <br />OWNER'S HAHK <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />7-Y <br /> <br />BLOCK <br /> <br />SUBDIVISION 2es-"o~yA::.- ?)jJ ~ <br /> <br />PARCEL I. D. f (OBTAIN FROM pROPERTY TAX NOTICE) <br />WORK PROPOSED~ ~ew Construction ----.Addition ----.Alteration ~epair _Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />~lish <br /> <br />~I of Units ~ <br /> <br />PROPOSED USE: _SiDgle F_ily <br /> <br />~/F <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />~estaurant Ii Health Departaent Approval <br />DESCRIPTIOR OF WORK: "+1'?10i3/Lc /hp?c Se/U~ <br />.... <br /> <br />BUILDIRG SIZE: -:f R X ~%, /3V"V Square Feet, /0 r Height <br /> <br />RESIDERTIAL: A'nACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />COMMERCIAL: A'nACH (3) SETS OF BUILDIRG PLANS Ii (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ <br />~UILDIRG <br />~CAL <br />MECllAllICAL <br />~.- <br />--=:...PLUHBIRG <br /> <br />PERMITS REOUESTED <br /> <br />$ ~ () GO, ~ Valuation of Total Construction <br />/ <br /> <br />I~O AIIP Service <br />$ "900,~ <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF coRsmucnoR: .-Block _Fraae _Steel '/r1 #- <br /> <br />Other <br /> <br />FIR1SHED PI.OOR ELEVATIOIIS: <br /> <br />FT. <br /> <br />IS PROJECT III FLOOD ZONE AREA? X <br />YES NO <br /> <br />.......................................... <br /> <br />RIJTI.DD. <br /> <br />CONTRACTOR SECTION' <br /> <br />COIIPAIIY PRR.k PL(-\<-~ 'yY1 .1-1. g^Le.s <br />~ State Cert. or Regist. I <br />v' City License Registration I .. <br />................................. <br /> <br /> <br />Signature <br /> <br />PLUMBER <br />c__._ <br />Signature <br /> <br />COHPAIIY O\'? \(lW LUUAJ~~\ o~") <br />State Cert. or Regist. .f <br />City License Registration', ...:; ~-'-! <br />................................. <br /> <br />COHPAIIY ~f=\R-k. fL(\c...~ ~-H. 2PtLe.-s <br />State Cert. or Regist. f <br />City License Registration . <br />. ................................. <br /> <br />L.... . <br />Signature// <br /> <br />COHPAIIY ~ Qf\ ~~ -t'OI0 ~ ef-\\\ ~ ~ ~~ R... <br />aStete Cert. or Regist. f <br />;/ City License Registration f <br />............................... <br /> <br />I~~ <br />. <br /> <br />nTRRR <br /> <br />COHPAIIY <br />State Cert. or Regist.' <br />City License Registration I <br />.......................................... <br />/h~ '>>7 07<rL, PERMIT OFFICER. <br />\j G <br /> <br />Signature <br /> <br />APPLlCATIOR APPBOVED BY <br />