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<br />APPLICATION FOR PERMIT <br />CI TY OF ZEPIIYRlIlLLS <br />nUILlHNG DEPARTMENT <br /> <br />OWNER'S NAME The ~W\ e r Cl-\ l) ~ 0 .\ '^ "\ e.... Co( ~PIIONE <0 \ ':3 - ~ 77 - I ~ OD <br />OWNER'S ADDRESS~ ~ 3 0 ct.- tJ.N\.-ce(j 12.&. <br />Jon ADDRESS ~ ~ e...- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL l.D.' ;)..4- - 2S .- -z.( <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:bew Construction _Addition --filteration _Repair _Install <br /> <br />~ign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_, of Units _MIll <br /> <br />_CoBnercial <br /> <br />_lndust. <br /> <br />_Swim. Pool _Other <br /> <br />~estaurant & lIealth I>epartment Approval <br /> <br />DESCRIPT ION OF WORK: Ere c -t \ \A.. 1) <br /> <br />~ <br /> <br />a- S. \ '0 V""\ <br /> <br />BUlI~DlNG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACII (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACII (3) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~1.EGrRl(;'^L <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--"ECIIANICAL <br /> <br />$ <br /> <br />Valuation of rtechanical Installation <br /> <br />~LUtlDING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRU(''TION: _Block _FraMe _Steel <br /> <br />Other <br /> <br />PlNISIIED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.*.*.**...*.*.......**..*..*******..****** <br /> <br />CONTRA(''TOR SECTION . <br /> <br />BUIhBBR S# fJ~ COMPANY ThOW\4..-S g \'6~ ~f+u.)~ H'\.7>~. <br />State Cert. or Regist. , <br />Signature. J OC} L I Co, CL/ City License Registration I l4- '70 <br />****************************************** <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. f <br />~jtllature City License Registration . <br />*.*.*.***..*.*.*.***.*.**.****.***.***.*.* <br /> <br />PLUMBER COMPANY <br />State Cert. or Resist. . <br />Signature City License Registration , <br />**.*.**.**.........*.*.*.***.***.**.****** <br /> <br />HEGllANlCAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration I <br />****************************************** <br /> <br />.QIIIU COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />*****************************************. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />