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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYlUIILLS <br />BUILDING DEPARTKERT <br /> <br />OWNER'S IWIIl lJy dUa-(j 2t~ <br />OWNER'S ADDRESS ~. 2? - t>,,~ <br />JQB ADDRESS If""?;! Ut//2.e/ tc..J019C> <br /> <br />PHONE <br /> <br />fJf /- ?3 ~(', <br /> <br />.- <br /> <br />I fb't'P4 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BI.OClL--SUBDIVISION ;; /v~r O,f /Cs <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition ---...Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF _' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--...aestaur~ H~th Departaent Approval <br />DESCRIPTION OF WORK: W/,Vv,q d/~ <br /> <br />BUILDING SIZE: / () <br /> <br />;;13 <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 />COMMERCIAL: 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 />_BUILDING <br /> <br />$ <br /> <br />41'S:: sU <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECBAIIICAL <br /> <br />$ <br /> <br />Valuation of tlechanical Installation <br /> <br />_PLUtlBIHG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIISTRUCTION: _Block _Fu.e _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAnOIlS: <br /> <br />Fr. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />**..***....................*.............. <br /> <br />BUTT.DER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY dlv~-7eC l(v'L{/~c/0 <br />State Cert. or Regist. . <br />City License Registration . / t:)..:L <br />.........*...............*................ <br /> <br />Signature <br /> <br /> <br />SiA'nAture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />..**..*....*................*............. <br /> <br />PLUtlBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />*.......*....*...........*..*............. <br /> <br />Signature <br /> <br />tlECllARICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.*..*....*..*.....*.....*................. <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />*...*.*.*..**..................*.......... <br /> <br />Signature <br /> <br />~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />