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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIY1WILLS <br />BUILDING DEPARTKENT <br /> <br />/02 -d.- -9 t.j <br />/ tP .' .2 cJ A/-! <br /> <br />JOB ADDRESS <br /> <br />~ F/ 1/f1trl <br />t /5/ fCblf/IVT s/ <br />t11h<"<;', 0 E- If If---?~ <br /> <br />PRONE <br /> <br />1~2 <br /> <br />I~G <br /> <br />OWNER'S IiAHB <br /> <br />OWNER'S ADDBESS <br /> <br />LEGAL DESClUP'fiON: LOT(S) BLOCIL--.SUBDIVISION <br />PARCEL LD.' ~ -;;L b - ;)/ - ..5-- 0 (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ----..Addition ----Alteration ---..Repair _Install <br /> <br />_Sign <br /> <br />-.--.Hove <br /> <br />----Peaolish <br /> <br />PROPOSED USE: ~iDg1e F_ily <br /> <br />---1t/F _' of Units ---1t/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />__.Jlestaurant & Health Departaent Approval <br />DESClIIP1'11lII OP -.t, "'/./tJ5'M<<. {t:;' 0/~ ~ tn' tI"rwdl <br /> <br />BUILDING SIZE: X Square Feet. Height <br /> <br />I~ ~'T~cl7Jl?- <br />, P;We6 <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COBSTRUCTION. <br /> <br />$ <br /> <br />)Cfd7JtrV <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br /> <br />Valuation of Total Construction <br /> <br />RT.Rcnu:CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----llECllAllICAL <br /> <br />$ <br /> <br />Valuation of lIechanical Installation <br /> <br />-PLUHBIBG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF COBSTRUCTIOIi: ~loclt _Fraae _Steel <br /> <br />Other <br /> <br />PIllISBED PI.OOR ELEVAnOBS: <br /> <br />F'I'. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />RIJITJ)ER <br /> <br />CONTRACTOR SECTION <br />cx{1.?f7 ...~.....:~"..'" ...~ Sv.J$"77hrt ;kJtt~JIf~c <br />. /. I" State Cert. or Regist. · ~'7 <br />. . City License Registration . ~__ <br />.......................................... <br /> <br />Signature <br /> <br />Rt .RCTlUCIAII <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />IlECllANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or ReSist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PEBIIIT OFFICER. <br />