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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPIlYRJIILLS <br />BUILDIRG DEPAR'l'HEHT <br /> <br />$ (" c) <br /> <br />J7';fF?JoL .S1J .~ <br />;L -;J.. 7- 9.:> <br /> <br />\- PHONE l 'f: ~ -6 C\ C\.\:J <br />~,~ ~\ C-\\\LL> <br />"L0~~ Q>~~2> ~ <br />BI.OCIL--S~i'6SION'S,\..:0't:..~ o~ ~ ~t\ \ <br />PARCEL 1.o.,:<;~" - d- \ - <::> \ ~ t> ~ - Cl IllJI1WI FIlOH PROPERrY TAX IIOTICEl <br />WORK PROPOSED:~ew Construction ---Addition ----Alteration --.Jepair _Install <br /> <br />OWNER'S lWIlL~ '-~" ~ U ~ ~ ~ ,-, <br />OWNER'S ADDllESS ~ ~ ""3 a <br />JOB ADDRESS b 33 6 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />\ <br /> <br /> <br /> _Sign -----1fove _Deaolish <br /> V-' <br />PROPOSED USE: _Single F_ily ------"IF _' of Units ----1I/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />--.Jestaurant Ii: Health Departaent Approval <br /> <br />DESClUPTIOII OF WORK: <br />BUILDIRG SIZE: 'J~ xS'l_, ,'1 a ~ <br /> <br />0', 'I <br />Square Feet,-1.:"..~eight <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDIRG PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />V <br />-BUILDIRG $~ D )~~ ~.... Valuation ~otal Construction <br />~ I c-,....", V-.~ <br />RI.R.CTRI.CAL \J'-J AIIP Service Florida Power Corp. <br />~~CAL $ ~ '\ ~ ~ Valuation of lIechanica1 Installation <br />v;;:...~ . ~ IIOOFllIG SPECIALTY <br />TYPE OF OOIlSTRUcnON: ~loclt _Fraae _Steel Other <br />FDlISBED FLOOR ELEVATIOIISrb + FT. IS PBOJEC'l IN FLOOD ZONE AREA? <br /> <br />PERMITS REQUESTED <br /> <br />W.R.E.C. <br /> <br />/ <br /> <br />YES <br /> <br />NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />IlIJTUll!ll ~ COtPAIIY ~,C'~: ~l) ~ "-J Eo..--.: <br />~~ State Cert. or Regist. . <br />. Signature . City License Registration' ..3 / '1 <br />... ..................................... <br /> <br />'t-_ <br /> <br />RI.R.C'l'RTCIAIJ f'E- 's::-, COMPANY \= t E f,u:~ ~ \ c:- <br />\ . '\ ,/\ ft, ~ State Cert. or Regist. . <br />SiooJllture W ~ ~ ~ ~ City License Registration.' ~ <br />.......................................... <br /> <br />PLmmER~~~LL' COMPANY~~bL.-L-~ \JL~ <br /> <br />'" --... ~. State Cert. or Regist. . <br />Signature ~ ~~ City License Registration' Sy <br />... . .................................. <br /> <br />JIECIW[[~ 1 ~\ ~..::::l <br />Signature ~~L \. <br /> <br />COMPANY f\ \ \C:...-r X:: a~ <br /> <br />State Cert. or Regist. . <br />City License Registration . <br />..................................*......* <br /> <br />\3t <br /> <br />. 0'rIID COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />......................................*..* <br /> <br />APPLICAnON APPIlOVED BY 71aMA>0 III AH1-~ PEIlIIIT OFFICER. <br />