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<br />. . U":t,XCATXON FOR PERMIT <br />,.:._CI1'YOp: ZEPHYlUIILL.S..- <br />BUIW"lNG DEPARTMENT .-.. - .. <br /> <br />..- - ...:.. <br /> <br />.'-:-"-~:.' ~ -~:7;-,;,?~ht;':]/;l f:, . <br />. -., - ...... <br /> <br />- -';".,.~....~ -~ ..:..~ .- <br /> <br />=~'- <:::::A~~' -. <br />:::::::NT. . l\2:p 5, ~ii~~~-. <br />.~....ti~l~ <br />6~4-~ ~~:,Zt\... <br />. I <br /> <br />. . <br /> <br />PH:~~J;..l ~~:~. .,.. . <br /> <br />n;-- ~d''':'-:~'.._: . -I. --'.- ". .. .......:.~'.--.. <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />-'LOT SIZE <br /> <br />-'''-,f' ,_'~:-::;.: ~~:.'..;_.:-_'_'. ...; .r. , <br />X . AREA SQ-.-FT~'''-'4_~'' <br /> <br />. . <br />. '-. .. <br /> <br />BLOCK. SUBDl;VISION. '. <br />, '. , . . - .. ,. ,-. ;' -" :'-' ~ -,'.. -'" -!:. . ".' .::- "?:. -:. <br /> <br />~:'J u!. . <br /> <br />LEGAL DESCR~PTION.: LOT(S) <br />. ',", ....;. ';'.~ ,'- . <br /> <br />PARCEL I.D.4~ <br /> <br />. '- . ~. . -';-- '.-~ .-..... <br /> <br />. , . '.1 . ,'-. .~. . ~ ' . <br /> <br />WORK PROPOSED:____New Construction -Addition ~lteration ~epair <br /> ____Sign/Temp. _Sign _Move <br />PROPOSED USE: _Single Family ----Ji I F _t~ of Uni ts <br /> _Commercial ~Industt. _Swim.. Pool <br /> <br />_I~stall <br /> <br />:-~ .:',: ..:': <br /> <br />-Demolish <br /> <br />. .--M/H <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS.& {l) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMTTS REOUESTED <br /> <br />_BUILDING <br /> <br />$' <br /> <br />\, 61L~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />>< ROOFING <br /> <br />SPE<<IALTY <br /> <br />. <br />_PLUMBING <br /> <br />.~ . <br /> <br />TYPE OF CONSTRUCTION: _Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Regist~ati <br />*********************************~****~ ** <br /> <br /> <br />Sigllature <br /> <br />PLUMBER <br /> <br />/ <br />/ <br />/ . <br />/' <br />/ <br />,/ <br /> <br />Company <br />State Cert. or R~gist. # <br />City License Registrat n <br />************************************** *** <br /> <br /> <br />:::::::::AN <br /> <br />Signat\,\re <br /> <br />Company <br />State Cert. or Regist. <br />City License Registra on <br />************************************ **** <br /> <br /> <br />Signature <br /> <br />/' <br />/ <br /> <br />/ <br /> <br />Company <br />State Cert. or Regist. <br />City License Regist tion # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER ~~ <br />Signature~ <br /> <br />Company ~'I- ~~~~ <br />State Cert. or Regist. # ~~~~~~ <br />City License Registration # ___~ <br /> <br />****************************************** <br />.,,'\. <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />