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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRJIlLLS <br />BUILDING DEPARTHENT <br /> <br />9~,S~<IJ Cp. ~~. <br />~ <br /> <br />OWNER'S NAHE_Y-<OJ-l f BAR BARA SCPC-r <br />OWNER'S AUDRESS a SA Ih ..;;; JArs 6E:Lc>c....U <br />JOB ADDRESS 3~Ce (0 ('Am b€:N ~Vt . <br /> <br />PIIONE 7 g 5 .... ) 4( 5" ;>.... <br /> <br />LEGAL DESGRIPTION: LOT(S) <br /> <br />/ :JX <br /> <br />BLOCK <br /> <br />SUBDIVISION.1tcPH A II'L<....Ac€ 87JlT~S <br /> <br />PARCEL LD.t 3';-- ;l5-.;2..l -oo5A-noOoD- 1-::l5?o <br /> <br />COBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair :.....-.Install <br /> _Sign _Move _Delio I ish <br />PROPOSED USE: _Single Family _H/F _, of Units _M/8 <br /> - Connercial _Indust. .,Lswim. Pool _Other <br /> <br />_Restaurant & lIealth Department Approval <br /> <br />DESCRIPTION OF WORK: (2pA.JCI1FtE IIJc,I!.o<.IIJo SUJ'/h...fY\lt.Je. P"OL ~( KOOL O~-cK.. <br />p()() l.. , I <br />BUILDING SIZE: (<( X ;2..8', 3:J.-o Square Feet, Height <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 REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />V BUILDING <br />V ELEL"TRlCAL <br /> <br />$ <br /> <br />I a- 4 00 . p .:;; Valuation of Total Construction <br />r <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 />_PLUMBING GAS ROOFING SPECIALTY <br />TYPE OP CONSTRUCTION: _Block _FrUle _Steel ~Otl1er <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN PLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />....*..*..*.*.*..********.******.***.**.** <br /> <br /> <br />CONTRACTOR SECTION . n <br />/. ~HA<-L~~c:..E:..R rOOL-5 <br />COMPANY BR..uc.€ E. ESqUII..JAWO <br />State Cert. or Regist. t C.j}~D~O OS ~7 <br />/ City License Registration , <br />.***************..*************.**.**** <br />./ <br /> <br />0UIl.DER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />************************************** <br /> <br /> <br />COMPANY C!..Ji A Ll ~.}JCi ~ <br />~~State Cert. or Regist. t <br />~~ City License Registration <br />* **************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration , <br />*****..****..****..*.*.*.*.*************** <br />" <br /> <br />Signature <br /> <br />QIIIEB <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 />