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<br />APPLICATION' FOR PERMIT <br />CITY OF ZEPIIYR8ILLS <br />BUILDING. DEPARTKERT <br /> <br />/~~k~ <br /> <br />CP;/ - /')~h6 <br />S!:.,,/!J <br /> <br />JOB ADDRESS c.f ( :Jo A J..fJ ~ p~ <br />LEGAL DESGlUP'lION: LOT(S) Cl ( BLOCK SUBDIVISION SiLvee Oil K(:;; <br />PARCEL I.D.' 3-O<G~;)/ -()/w-- QOXJQ - OCII d (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ----..Addition ----Alteration ---.Jlepair _Install. <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />--Peaolish <br /> <br />PROPOSED USE: ...Ksingle Faaily <br /> <br />-.Jf./F _' of Units' -.Jf./B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---.Jlestaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />S//i/qu.::J <br />V <br /> <br />r /J 117 /:/-y' <br />! <br /> <br />Ke.5' <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMKERGIAL ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ hD,ooO <br /> <br />'" <br /> <br />Valuation of Total Construction <br /> <br />"f' . <br /> <br />RT.RcrRICAL <br /> <br />I{O . AtIP Service )( Florida Power Corp. <br />$. d.50 0 Valuation of lIecbanical Installation <br />/ <br /> <br />W.R.E.C. <br /> <br />-1lEGlWU.CAL <br /> <br />----.:PLUMBING GAS <br />TYPE OF coBsmucnoN: A.Jslock <br /> <br />s/-'I/Jc, LeROOFIRG <br />v <br /> <br />SPECIALTY <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FIBISBED FLOOR ELEVAnOBS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? L. <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION' <br /> <br />lnIPAIIY ~q.~ ~~ <br />State Cer or Reg t. I. C(;"~ 63b:J80 <br />City License Registration , ,~ y <br />.. ...................................... <br /> <br />RmlllER. <br /> <br />RT.RCTRTGIAR <br /> <br />SilmAture 1/~ ;;l <br /> <br />-' <br /> <br />. , . COMPANY t{'t15 ~f- ~ he <br />~ State cUt. or Regist. t it: ~ ZC>t,'f- <br />~~. . City License Registration.' Z. ~ r <br />........................................ . . <br /> <br />PLUMBER COMPANY ffit./VVvu:wJ ~ <br />/ / !JJJ ~ ') /' jl State Cert. or Regist. , ?JZJ S~ / / <br />Signature &1./-_.....c::/ ~~ City License Registration , /' th L( <br />.......................................... ' <br /> <br />HECllAHICAL~ COMPANY /l LC A Ie Co. <br />. ~ / ~ State Cert. or Regist. I. CACOft.2..W? <br />Signature L ~ City License Registration' If <br />.......................................... <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. I. <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATIOII APPBOVBD gy /1 t/1U"J )1J !CkL~ <br /> <br />PERMIT OFFICER. <br />