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<br />, , . <br /> <br />. . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlULLS <br />BUILDING DEPARTMENT <br /> <br />'J~ - 'T. C;~ fe t-\ <br />I ~.'3 -1C(o 0 '4.) <br /> <br />PHONE 1iJ2- '/ 51 l) e...l.. .>L ~ <br /> <br />/) A <br />L-- (,.{ A.~ <br /> <br />c~~~ <br />i-c,;4 .5 ~f::l 'I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <br /> <br />_Sign <br /> <br />_Move <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />~Alteration _Repair ____Install <br />_Demolish <br /> <br />WORK PROPOSED:_New ConstrucLiou _Addition <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/p <br /> <br />_f of Units <br /> <br />_M/H <br /> <br />+COIIlIlIercial <br /> <br />_Restaurant & <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />_Other <br /> <br />Health Department Approval <br /> <br />,.. <br /> <br />, <br /> <br />iY\ .t.2..1-\'<;*"'-] l~u..L\A\,^-~ f?e,J' c...lCkl,S .l-onv\A.S <br />Square Feet, to Height <br /> <br />DESCRIPTION OF WORK: DO>.J'"'--\-.\.~\..~ <br />I <br /> <br />BUILDING SIZE: <br /> <br />~ X3~, <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTA~'I (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 />--6LE~7RICAL <br /> <br />$ <br /> <br />Valuatiou of Total Construction <br /> <br />AtIP Service 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 CONSTRU(.7ION: _Block ____Frm.e ____Steel <br /> <br />Other <br /> <br />FINISHED 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 />BUILDER COMPANY <br />~ '\ ~\ State Cert. or Regist. , <br />Signature ~ - ~ City License Registration' <br />****************************************** <br /> <br />ELECTRICIAN <br />SiRllature D ~ <br /> <br />\: <br />L~ <br /> <br />COMPANY <br />~( State Cert. or Regist. , <br />City License Registration , <br />** *************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />