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<br />APPLIcAnON FOR PDKIT <br />CITY OF ZEPIIYIUIILLS <br />, BUlLDlfiG DEPARl'IIENT <br /> <br />o p-t:J?4-~q>I.5' <br />C7) 41 <br /> <br />OWNER'S HAHElIl1l?.dL.{) /J1()/t1JSSpLJUpJ~/.f~ /1t1J/sflA/6- PHONE 7cf'3-bl-'?? <br />OWliER'S ADDJI.ESS ~-r-,S? r?~{}S/ AE/JA)/)IItS /..A-. <br />JOB ADDRESS S/f/fJ$. Z~PHY/(!-f ILLS y/. ,J 5~fj <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.' J '-1-.11:. -...)/-t)/6tJ-t>t:t:nJ-oS7o (OBTAIN PROM PROPERTY TAX NOTICIO <br />liOllK PIlOPOSIlD: ~ew Coastrw:t~ --...Addition --Alterat~ -Jlepair _lDatall <br /> <br />-Jign <br /> <br />---.Jlove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: V Single Faaily <br /> <br />---.Jt/F _' of Units ---.Jt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />Restaurant Ie Health Departaent Approval <br /> <br />DESCRIPTIOIf OF NORK: CO "'c.. R ',""1&.- S N 1i D - C.J1 le-PtJ rzr- <br /> <br />BUILDIRG SIZE: / /' X / f) I. / / f) Square Feet. q~p 1'1 Heiy)J.t <br /> <br />RESIDElfTIAL: ATrACB (2) PLOT PLAlfS Ie (2) SETS OF BUILDIRG PLANS Ie (1) SET EHERGY FORMS. <br />COMMERCIAL: ATrACII (3) SETS OF BUILDIRG PLANS Ie (1) SET ElfERGY FORKS. <br />PROPERTY SURVEY :REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />, ~UILDIlfG <br /> <br />$ <br /> <br />RI.RcrRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-.JIEClWlICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />-PLUtlBDlG <br /> <br />GAS <br /> <br />:ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE PP COIfSnucrION: -Block _Praae _Steel <br /> <br />Other <br /> <br />PIlfISHEDFLOOR. ELEVAnONS: <br /> <br />Fl. <br /> <br />IS PROJECr IB FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BunDRR <br /> <br />CONTRACTOR SECTION <br />mtlPAIfY /t-UZ h W fr1, , <br />/l.llla-~ State Cut. or Reaiat. · Cl:!LLifj6i"/J <br />City License Registration t 0 <br />*......................................... <br /> <br />Signature <br /> <br />EJ..RCTRICIAII <br /> <br />COMPANY ' <br />State Cert. or Regist. , <br />City License Registration' <br />.......................................... <br /> <br />Si 0.1$' ture <br /> <br />PLUMBER. <br /> <br />COKPARY <br />State Cert. or Regist. . <br />City License Registration , <br />.*.......*................................ <br /> <br />Signature <br /> <br />KECIWJT~ <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration f <br />........................................** <br /> <br />Si~ture <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICZR. <br />