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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPllYIUlILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME ~ 0A"Av'~e (3h/L/Je~ PHONEl.eaJy) Cffj/-73(.-'. <br />OWER'S ADDRESS /?t., 51 ..&ebtce ~ - /JoPtlr$ <br />JOB ADDRESS b? A/(!),erlt L Aile /),(l/ J<e ~ 9 ~ 7' 71. ~ <br />~ ' <br />LEGAL DESCRIPTION: LOT(S) h/ ~SUBDIVISION s/LveR --OAI:!s' <br />PARCEL 1.D.' 3 -;){..,-;)./ - (j/W -- ~(!)o- O~/O (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction _Addition ----^lteration _____epair _Install <br /> <br />_Sign <br /> <br />---'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: XSingle F8IIily <br /> <br />~K/F <br /> <br />_' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant Ii: Health Depart:llent Approval <br /> <br />DESCRIPTION OF WORK: 51/J~ Le <br />./ <br /> <br />" <br />rAmlLy ~r::5 <br /> <br />BUILDING SIZE: <br /> <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 FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />PERMITS REOUESTED <br />$ h~606 Valuation of Total Construction <br />- <br /> <br />/50 AKP Service X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />_KECllANICAL <br /> <br />$ ?/CJO <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS <br />TYPE OF CONSTRUC'I'ION: X Block <br /> <br />S/vNd,r- ROOFING <br />. <br /> <br />SPECIALTY <br /> <br />_Fralle _Steel <br /> <br />Other <br /> <br />FIlfISBED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJEcr IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAC'I'OR SECTION <br /> <br />BIITI.DRR COKPANY BAV t/~~:'~ Lf'u/L.,t)~R~ <br />* State Cert-:' or Reg st. . C~ C O~dg(j ..1 <br />Signature ~Ii' rA City License Registration' ~ _ l "7 :2 <br />*************************************** <br /> <br />F.I.RCTRICIAIf COMPANY S-+S EL.<:::cr;t>lc <br />:..........-... 0 . /LI~ State Cert. or Regist.' E~ -513: <br />SilmAture -Y~P1" ~ City License Registration' ~ ,~ Ol) <br />********** ******************************* <br /> <br />PLUKBER COMPANY .j/~;fJ/YJ~~+-r-AAC:;~~ <br />State Cert. or Regist. . ~,t:';3-01b <br />Signatur City License Registration' _ ____ J~ 1 <br />****************************************** ' <br /> <br />KECBABI~. ,- ,.' COMPANY A~ Jf...c ;4;~ Co~..LJ <br />. - State Cert. or Regist. f ~"'~d'q~3:: <br />Signature City License Registration . q .> <br />.....--. . ..~................................... <br /> <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />