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<br />.. .. <br /> <br />~qjo~ <br />Q~. <br /> <br />APPLICATION FOR PERMIT <br />ClTY OF ZEPIlYRlIlLLS <br />BUILDING DEPARTMENT <br /> <br />OWN Eli <br /> <br />PHONE <br /> <br />OWNER <br /> <br />JOB AI <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROl)OSED: ____New Construction --^ddition ____Alteration _Repair - Install <br /> _Sign ____Move _Demolish <br />PROPOSED USE: ____Single Family -"IF ---- 1t of Units _MIll <br /> - Commercial - Indus t . _Swim. Pool _Other <br /> <br />____Restaurant & lIealth Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAl.: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PI.ANS & (2) SETS OF BUII.DING PLANS & (1) SET ENERGY FORMS. <br />ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~LE<'JRICAL <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 />~LUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _FrUle _Steel <br /> <br />Other <br /> <br />FINISIIED FLOOR ELEVATIONS: <br /> <br />FI. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />................_.....**..***.....__.**.*. <br /> <br />CONTRACTOR SECTION <br /> <br />BUIIJ>ER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN. '1 COMPANY IL;?'C Ac-<,r,( ~ ~ L C~-t'c--T c;d'>t.-;(. <br />/ / . /' ~ State Cert.. or Regist.. # <br />Si2ll8.tur{~t::..de'<._f/ G."-? .c,~~1' City License Registration # ,(/ /' Z- <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration ## <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.*******.*********.********..**.*.***.**** <br /> <br />OTIIER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />