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<br />APPLICAnON FOR PBlUlIT <br />CITY OF ZEPHYImIU.S <br />BUILDING DBPAR'11tERT <br /> <br />OWNER' S tWlBQ I c~h ~ 12.. <:.t <br />OWNER' S ADDDSS ,-~ Ii' < 5 =:3 <br />JOJ' ADDRESS ~ <br />LEGAL DESCRIPTION: LOT(S) 7 -./ i) B~SUBDIVISION <br />PARCEL I.D.' V 11-..11---.J.,-o (if 'i)-a 1 , a l> - 0 0"7 I (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />:r Co.~~ e/0 <br />I'IT"? A-{Je <br /> <br />PHONE 713 7 F,S J.."7 J-f <br /> <br />WORK PROPOSED:~ew CQnstruction ---Addition ----..Alteration ---Repair ..1::::::::'Insta11 <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_ec-ercial <br /> <br />---1.t/F _, of Units ---1.t/U <br />_Indust. ~Swia. Pool _Other <br /> <br />---Restaurant it Health Departaent Approval <br />DESCRIPTION OF wou..:.Ih'}sTn/1 ?)boJe C;-AOu. 'VeL Po 0 I <br /> <br />/f ( <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />. <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ ~':: ~- (/"77 <br /> <br />Valuation of Total Construction <br /> <br />RI.RcrRI:CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1fECIWII.c&L <br />~1JHBIRG <br /> <br />$. <br /> <br />Valuation of lIechanical Installation <br /> <br />GAS <br /> <br />ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF OOIIS'l'RucnON: -Block -"raae _Steel <br /> <br />Other <br /> <br />FDIISIIED .FI.OOll BLEVAnOIfS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION' <br /> <br />BUJIJ1RR COIIPARY <br />.-/2 J n L?, State Cert. or Regist. . <br />Signature \./ ~~~ __ City License Registration , <br />.......................................... <br /> <br />:.-:::::~u~ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration' <br />.......................................... <br /> <br />PLUMBER <br />. ~ t /) <br />Signature ;; .~ - t: <br /> <br />COMPANY <br />_ State Cert. or Regist. , <br />-- . - - * _ -== City License Registration . <br />........... .............................. <br /> <br />IlEClWlI.CAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Sigoature <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERKIT OFFICER. <br />