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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYlUIILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAHE gvL~Dl( i-f!)).J ~ Cl-f t4FPc.-iL <br />OWNER'S ADDRESS f) "7?) ()) Ie (~ f4.-l1 ~ 8 U) () <br />JQB ADDRESS 3 B b3~5 E VLL '--rJ.-J L tJ " <br /> <br />PHONE ~O)'-9 %, - S- Lf 0 ~ <br />~ (VB'l- ~ ~'\ v=L. ,>;t 0::2-) <br /> <br />LEGAL DESCRIFl'ION: LOT(S) # ~ b <br /> <br />BLOCK <br /> <br />SUBDIVISION a.~ (~e: ~ ? c;;..~fe ~ <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: VNew Construction ---/lddition ---..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--"<>ve <br /> <br />_Deaolish <br /> <br />~OPOSEDUSE: ~~eF_i4 <br /> <br />-J4/F _' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant & Health Departaent Approval <br /> <br />DESCRIFl'IOB OF WORK: }J'Lu <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Vl- 'i S\~<t,vL€ <br />Square Feet~)bO Height <br /> <br />RESIDEIITIAL: ATTACH (2) PLOT PLABS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMKERCIAL: ATrACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />~OPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <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 />----1IECliAllICAL <br /> <br />$ <br /> <br />Valuation of tlechanical Insta11ation <br /> <br />_PLUtlBDlG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COBSTRUCTION: _B1ock _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELBVAnOBS: <br /> <br />F1' . <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />BIJTT.DRR COtIPARY <br />State Cert. or Regist. . <br />City License Registration' // 7 <br />................................... ........ ......~............. * * *.** * *.. <br />. ~~, <br />COKPARY (J q M r t: VI . <br />State Cert. or Regist. . (!Jl~' I L Z Z;Z <; <br />City License Registration' ZG:> ~ <br />.................................................... <br />. 1/ /, <br />PLUtlBER ~ ~ COKPARY 'tJ If es I V-"" b 11 <br />/ /. State Cert. 0 Regis . . <br />Signature ~ ~ City License Registration . <br />~ ......................................................... <br /> <br />tlECBANICAL~ ~ COKPARY A ~ 2> S~t'c~' _-IIAL- <br />State Cert. or Regist.' 1< 6 (JO C~J:.'C{) <br />Sipature "'Z-( ~ City License Registration' :if. ll/.,' ~()iC <br />................................................... <br /> <br />v- <br /> <br />v/ <br /> <br /> <br />~ <br /> <br />v- <br /> <br />OTRRR <br /> <br />COKPARY <br />State Cert. or Regist. . <br />City License Registration , <br />...........................*................................... <br /> <br />Signature <br /> <br />APPLICATIOR APPIIOVBD BY )1 aMA-(j /J14 <br /> <br />PERMIT OFFICER. <br />