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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPllYRllILLS <br />BUILDIRG DEPARTMENT <br /> <br />OWNER' S NAME <br /> <br />rP."9~ ( 6, (?~cf ( oJ/ <br />-5;;J..s-S /(~s f <br /> <br />, <br /> <br />~;l.15 I ?~5f, <br /> <br />PHONE <br /> <br />7B~-S/6? <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.' 11- ~ - (?t( -OtPt'o- 196&0 -O~s-c(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction -^ddition --...Alteration _.J.epair _Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1t/F <br /> <br />_' of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />-Restaurant Ii Health Departaent Approval <br />DESCllIPTIOII OF li01IIC: I 15 7 -'7V ~ c- <br /> <br />.BUILDIRG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDEI1TIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UILDIRG <br /> <br />$ <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 />-.-JIEalAIlICAL <br /> <br />$ <br /> <br />Valuation of tt.echanical Installation <br /> <br />_PLUtlBIRG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIlSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />PINISHED FLOOR ELEVAnONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..................................*....... <br /> <br />CONTRACTOR SECTION <br /> <br />BIITT.DER. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT.RCTRICIAN ;' COHPANY~"7c-Itf-;LA1 C/~-+A/AJ"'LL ELk,,? ,--~~~^__ <br />~. /? State Cert.. or Regist. . <br />SignAture .Vrc.t'~.......?y Ltc:;.-z.-.z&u-"/ City License Registration' 70<:- <br />.......................................... <br /> <br />PLlIIBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />COKPANY (e ,....7 c <br />State Cert. or Re st.' <br />City License Registration . <br />.......................................... <br /> <br /> <br />MECHANICAL <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />...................................**..*.* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />