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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlIlLLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S <br /> <br />NAMJ~bb; ~. <br />3CJ 03'-1 <br /> <br />Lve. IGh <br />loth <br /> <br />PHONE <br /> <br />7~3 - 3D1 ~ <br /> <br />OWNER'S AUDRESS <br /> <br />,f/j}NP Ihve- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.t (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~W Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~ingle Family <br /> <br />_M/F <br /> <br />_' of Units ____M/H <br /> <br />____COIIDerciaI <br /> <br />____Indus t . <br /> <br />____Swim. Pool _Other <br /> <br />_Restaurant & lIealth Department Approval <br /> <br />DESCRIPTION OP WORK: <br />BUILDING SIZE: I 'J- <br /> <br />G Iq~.5 <br />X .J(). <br /> <br />hJtJYl1 <br />~ '10 Square Fee t. <br /> <br />Of <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OP 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 />~UILDING <br />~LEL"TRIGAL <br /> <br />$ <br /> <br />[;;)'1 0 ~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <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 />_PLlJHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OP CONSTRUCTION: ~lock _PrOle _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 />u <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration <br />****************************************** <br /> <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY <br /> <br />. c. <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************........*****.*...*...**.. <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />*******.**..*......**.***.**************** <br /> <br />2IImR COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration t <br />***************.*.*.**********.*****...*.* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />