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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlIlLLS <br />BUILDING DEPARTMENT <br /> <br />~vV <br />CfRP is' <br />9-/7- '1 J, <br /> <br />Ct-) ~c..., <br />)~ I Ii S 5611/1 /1vtS-h~ I ~~~ 7'07'17 <br />N;)"jL lP~ Ov~ , ):Jvw..r()~, ~r~lti4'lJ)t1~ J"Jr-fl; <br /> <br />LEGAL DESCRIPTION: LOT(S) b'1 BLOCK~~UBDIVISION' $, I()~ 04 <br />PARCEL LD.t 03 - 2l:, -'21 - 0/86 ~Oo 000 - "fo'Jo COBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />H-t,d <br />q~11 <br />&7/3 <br /> <br />In?SO I-\. <br /> <br />PIIONE f"""J2--l'l1 - /iJ'L 7 <br /> <br />OWNER'S NAME <br /> <br />OWNER'S AUDRESS <br /> <br />JOB ADDRESS <br /> <br />WORK. PROPOSED:-XNew ConstrucLiou _Addition <br /> <br />_Alteration <br /> <br />_Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSEU USE: ~Single Family <br /> <br />_M/F <br /> <br />_It of Units _MIll <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />BUILDING SIZE: <br /> <br />(,~J~ f~iJ <br />9> X sY. Z'/3b <br /> <br />lIealth Department Approval <br /> <br />{,~~ M.~- <br />\7' I'I.~ f",i.A.. <br />Square Feet, I Height <br /> <br />_Restaurant & <br /> <br />DESCRIPTION OF WORK: <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />X BUILDING <br />-XELEL"TRICAL <br />XMECllANIGAL <br />KPLUHBING <br /> <br />$ <br /> <br />1 s:oo~ -- <br />/~D <br />'3/00 - <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~BIOCk <br />FINISHED FLOOR ELEVATIONS: '6l FT. <br /> <br />_FraRIe _Steel <br /> <br />Other <br /> <br />YES <br /> <br />.x <br />NO <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY !S7/11L {2",,~ ,:ft.- <br />State Cert. or Regist. t <br />City License Registration t <br />......**.....................*............ <br /> <br /> <br />BUILDER <br /> <br />ELECTRICIAN COMPANY "",j.,,,,- f/<--vhrol'-- <br />-::.... - () (). State Cert. or Regist. # IL DO~L7.,l" A-~"~;.457>1.'-? <br />S .lure.lt r= ~A ~ City License Registration '7. 'Ij <br />.......................................... <br /> <br />PLUMBER n COMPANY gt~""oNt-- J1......{.;~ <br />~/J ()~: State Cert. r Regist. t -f!-C ()Y'lJ/1f5u <br />Signature t...L~ -L -<- City License Registration # 11 <br />****************************************** <br /> <br />KECHAN IGAL v COMPANY {Dyt.Yli~'J tl.J/'oAo't- flJ,}'/~ <br />.../~ J~ State CerL or egist. t !l/'hDP,", VI }lutq)oJI69J:,I <br />Signature ~ City License Registration , ~~b <br />~ .******~*********.******************* <br /> <br />Ql'.UR COMPANY 11-/ J2..t, ,~. <br />State Cert. or Regist. t /Z~ Ol>f",/VS- <br />City License Registration t e~ <br />**.*****...**********.******.**.*.*****.*. <br /> <br /> <br />ICATION APPROVED BY PERMIT OFFICER. <br />