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<br />" l <br /> <br /> <br />APPLI.CATI.ON POR PBMI.T <br />CITY OP ZIPRYRRILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />7~L1~l/llJ <br /> <br />ADDRESS <br />OWNER SI'l... Vt.A~ <br /> <br />...., <br /> <br />JOB LOCATION '$ ~ VV"---e-. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.4t {- Z- ~ - "l \ <br /> <br />~ ~, " <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ----Repair <br /> <br />_Sign/Temp. <br /> <br />____S ign <br /> <br />--"ove <br /> <br />PROPOSED USE: ____Single Family <br /> <br />----Jfl P <br /> <br />_0 of Unit~~ <br /> <br />_Commercial ~lDAl.uftlr ",~SwiJB. 1>>001-." <br />, '~,... <br />"J ~:..riC/:~, <br />____Res taurant & Health' De~rtaeatt Approval. . '. 'tv <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />...... . - ., <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET END <br />COMMERCIAL: ._ ATTACH. (3) SETS- OP..,8UILDI.NG~LANS. ..4~ (I).. SET. .EU&RGY; FOJUlS. *i" <br />**COPY OF CONTRACT REQUIRED. .' <br /> <br />.' -I. <br /> <br />.. " .' .-,- '." 't,:""t" - <br /> <br />PR.RMTTS RR.QtJl$~TED <br />L" <br /> <br />.' ~ <br /> <br />____B~ILDING <br />,...,..-ELECTRICAL <br /> <br />$ 2.580 ~~ <br /> <br />I.' , <br /> <br />Valuation of ,Total COJlSt~ction <br />: I . ~. ._.... . ' I' ",' ' <br /> <br />AMP Service <br /> <br />Florida PqwerCQrl?~ <br /> <br />GAS <br /> <br />_.. ..... ... ._,-" ."'f:" <br /> <br />,. v~~~~~n Qf..~~~n~~~~~~~~l.l~~l~'~ <br />ROOP1~G ~~E~IALTY <br />',\ '.f <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />. <br />_PLUMBING <br /> <br />.... . <br /> <br />TYPE OF CONSTRUCTION: ~B+~ck <br /> <br />'- <br />_p:t~e _~~e~l, <br /> <br />Other <br /> <br />: ~ ! <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />. ! ~ <br /> <br />Sigllature <br /> <br />*************************~***********...*t <br />. " , " ~~ ,l'" .< _ .' '. '.' t, ,- , , <br />. , 1. CONTR'AQ'OR ~ECTIQN' ' <br />.' Company . . <br />-State"Cert: or'Regi5(. t. <br />" c:tty ~ice~~e. R~g;ist:~ti.on It <br />*****************..****.****************** <br />- .' ,., '.' p;.""~,~t.:~.. ~ ::___.I :.:....:.: ,<_~~ .:.'~ 'l__..t._,.~;;__ ~ <br /> <br />BUIIjDER <br /> <br />ET.ECTRTCTAN <br /> <br />Siszn~t\lre <br /> <br />Signat~re <br /> <br />.~' :. ;. 1 1 ~ ' <br />eo.pany' .. ',. ' <br />Stat.-cett.' or iea~ <br />Ci.~y Lic:e~se' Resilt <br />*.*-******.***~~*.*..**..**~.****..* <br />. I . ., ~ ~ _ I:. -,: ; <br /> <br />PT.lJMBE~ <br /> <br />. MECHAN1CAT, <br /> <br />Signature <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />, I <br /> <br />. "'-, <br /> <br />" .r:.Jt.-',' . <br /> <br />~. ; 1 ,{i <br /> <br />1:.~"Lo_+.1- <br />