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<br />I ,-, <br />/::, (f -/l.yY- <br />""==-., APPLICATION FOR PERMIT {j ;' q r?fZ f:-'J :/~~' <br />CITY OF ZEPIIYRlIlLLS' J \4b 1,10 1-"\0 {~~ <br />BUILDING DEPARTMENT ~ ~~ ~ <br />/ . b~ r r? <br />OWNER'S NARE ~nJ&,~ ~,~ PIIONE tf~tJ --2#", \~~~ <br />OWNER'SADDRESS "j(;O~~~/:t 4~ &. ;'//.5/ t <br />JOB ADDRESS 73s() _ _--;g_ _ ~ _ _ ~ _ if j <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIOM ~~ <br />/3 '0'0) \ . <br />kAR~EL . I. D. t g 5"- /JIY a (- -7)0/ ZJ - tJ" 9 t) [) - tJtJ :;2 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction --Addition _Alteration _Repair _Install <br /> _Sign -"ove _Demolish <br />PROPOSED USE: _Single Family _M/F _, of Units _M/H <br /> _Connercial - Indus t. _Swim. Pool _Other <br /> <br />_Restaurant & lIeaHh ,::"ent Approval <br /> <br />DESCRIPTION OF IiORK, -f'~./~ <br /> <br />BUlLDlNG SIZE' X .~t3. ~ squar~ Feet, lIeIght /~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTA~'1 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />-L-BUILDING <br /> <br />$ <br /> <br />'1 tJ~o., ,/JDt). <br /> <br />Valuation of Total Construction <br /> <br />_ELEL"TRlCAL <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 <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrUle _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 />BUIIJ)ER <br /> <br />~~ COMPANY <br />State t. or Regist. t <br />City Lie nse Registration , <br />****************************************** <br /> <br /> <br />~ <br /> <br /> <br />Signature <br />"7 <br />f}-D' <br />ELECTRICIAN <br /> <br />Si2llature ~ <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration t <br />****************************************** <br /> <br />.oc> <br /><> <br />1PPLUHBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration # <br />****************************************** <br /> <br />Signature~ <br /> <br />KECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />OTHF.R <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~... <br />PERMIT OFFICER. <br />