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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIlYRlIILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS ~ <br />LEGAL DESCRIPTION: SUBDIVISION Ctrr () ~~ J { tI-s <br />PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition -^lteration -XRepair _Install <br /> <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_DeMolish <br /> <br />PROPOSED USE: <br /> <br />t/Single Family <br />--A-COWfJerCial <br /> <br />_H/F <br /> <br />_' of Units <br /> <br />_H/H <br /> <br />_lndust. <br /> <br />_____Swim. Pool <br /> <br />_Other <br /> <br />---.Jl..tauraut & H~alt," D.parm.nt APp~u.al 'I/j~ _ <br />DESCRIPTION OF WORl{:~I211)I/dj~ ~g ~'( ~ <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTA~I (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />:X-BUILDING <br />_ELECTRICAL <br /> <br />sq <br />$ti)J~ ,h <br />( <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PL~ING GAS <br />TYPE OF CONSTRUCTION: ~BlOCIt <br />FINISHED FLOOR ELEVATIONS: <br /> <br />ROOFING <br />-X-Fr.... -XSt..I <br />FT. IS PROJECT IN <br /> <br />Other <br /> <br />SPECIALTY <br /> <br />FLOOD ZONE AREA? <br /> <br />..................................*....... <br /> <br />YES NO <br /> <br />t"j' <br /> <br /> <br />C <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t . <br />City License Registration . <br />..........................*...**..** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />......*****...*.......*.**...**.***...*... <br /> <br />Signature <br /> <br />. . <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.....................................**..* <br /> <br />Signature <br /> <br />ornER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />.*........****..*.*...***..*.........**... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />