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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlIILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME C\~ 0.\ 2~~vh', t\s.. <br />OWNER'S AUORESS <br />JOB AODRESS 2<fkIjVhi\\f ~Vf'oY+\ ~ <br /> <br />PIIONE <br /> <br />LEGAL DESL~IPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition _Alteration _Repair _Install <br /> _Sign _Move ____Demolish <br />PROPOSED USE: _Single Family _M/F _* of Units _M/H <br /> _Connercial - Indus t . _Swim. Pool _Other <br /> <br />_Restaurant & lIealth Uepartment Approval <br /> <br />DESCRIPTION OP WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />lIeight <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIREU FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELELi'RICAL <br /> <br />AMP Service <br /> <br />Plorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOPING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -"lock _Fr~e ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..................................*......* <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />**.****.*.******************************** <br /> <br />Signature <br /> <br />:::~~ <br /> <br />COMPANY ."R blt2c-h-~(.. IhL <br />~ State Cert. or ReRiot. . a~91~ <br />City License Registration t \~ <br />~*****************.*******************. <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />*****..******************.**************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />********.**********.*********************. <br /> <br />Signature <br /> <br />OTHER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />*************...*****.****..*******.*.**** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />