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<br />. ,~f1.tCAT10N FORPERM1T <br />C1TY OF: ZEPHYRH1LLS ' <br />'i3utUflNG DEPARTMENT ' " . . <br /> <br />._'-'1""--;. <br /> <br />.."F..:;:'~,)jf;:j:r" <br /> <br />APPLICANT.. ~l'.qa.~~'" ".:C.,' <br />ADDRESS \ \'-z,E::J S, ~,~'~',.,,~~, ~>" <br />OWNER~'~~,\ ~'!y~~'" ',' '.:.- " <br />JOB LOCATION h~2\~ ~~-:b(L.\~~.'~. ,'LOT SIZE <br />- . . . <br /> <br />,:,. ;"~;";".:"f" <br /> <br />P!J~~r:ffi<>;~J~ <br /> <br />. . ..-."'- <br /> <br />..., <br /> <br />-.'.-.f" ,'.:'--;-;;;:-.~-~'i..:-~"H - <br /> <br />x ,AREA SQ.FT. <br /> <br />. __.__._ :\"11.;"; <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOC}{ <br /> <br />SUBDIVISION' " <br />. .. ,. .. . - ." :.: '. . .~ " . \ <br /> <br />PARCEL 1. D. ~t <br /> <br />WORK PROPOSED:_New Construction ~ddition ~lteration -Repair ~~,ns,~all <br /> <br />, , <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />____Move ----Pemo1ish <br /> <br />PROPOSED USE: _Single Family <br /> <br />---->I I P <br /> <br />_4~ of Uni t5 . .---K/H <br /> <br />_Commercial <br /> <br />---:-Indu5 to. <br /> <br />____Swim., Pool Other <br /> <br />----Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COpy OF CONTRACT REQUIRED. <br /> <br />x <br /> <br />Square Fee t I <br /> <br />Height <br /> <br />pRRMTTS REOllESTED <br /> <br />_BUILDING <br /> <br />$' ~~4-4CJ~O~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />W.R.E.C. <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />" ' <br /> <br />GAS <br /> <br />x ' ROOFING <br /> <br />SPEC(IALTY <br /> <br />. <br />_PLUMBING <br /> <br />..- . <br /> <br />TYPE OF CONSTRUCTION: _Block ____Frame _Steel <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Other <br /> <br />:~::::~,:: A: . <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Regis~ratio <br />*************************************** * <br /> <br />'/ <br />/ <br />/ <br /> <br />****************************************** <br /> <br />/' <br /> <br />Signature <br /> <br /> <br /> <br />I <br /> <br />Signat\1.re <br /> <br /> <br />Company <br />State Cert. or R~gist. 4t <br />City License Registratio <br />*************************************** * <br /> <br /> <br />/ <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registratio <br />**************************************** * <br /> <br /> <br />Signature <br /> <br />/ <br />/- <br /> <br />( <br /> <br />/ <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registratio <br />*************************************** * <br /> <br /> <br /> <br />Company .-~\>c.~ ~~\\.~~~ <br />State Cert. or Regist. 4t \l...c.~ .&. <br />City License Registration # ~~ <br /> <br />~~::":",~' ~~ ";.':' ; ~:;'. <br /> <br />"F,'.,!l:~1, :_:.l.....'.... 4' <br /> <br />,t :', . .~' . '",,,.. <br /> <br />;. ~'. . <br />