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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlIlLLS <br />BUILDING DEPARTMENT <br /> <br />"1~9'1 <br />(/d"' <br /> <br />OWNER' S NAME 7J t.J t1J;:j L. 7) ::r 5 I {tive:; s <br />OWNER'S AnDRESS 3 7 13 fn C UL e-E/lls- <br />r: uLLEAf S <br />LEGAL DESCRIPTION: LOT(S) 7 ~ BLOCK SUBDIVISION .sTcPIft~j 6-Letl AT S'Lv't~ti <br />PARCEL I.D.' ()J --2.'-;;.1- 0 /yfJ ....Ll0006 -o7f 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE ~/.3.- 7f 3 -7{;(12 <br /> <br />JOB ADDRESS <br /> <br />'J 7/ 3 b <br /> <br />Tl.?H/L <br />rtt: Ii / L- <br /> <br />WORK PROPOSED: ____New Construction LdditiOn ____Alteration ____Repair ____Install <br /> ____Sign ____Move ____Demolish <br />PROPOSED USE: -Lsingle Family ----"I F ---- # of Units _M/II <br /> ____COII8Dercial - Indus t . _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: :5 Gr ~ e IV ;loom IlcfcP,t/~A/ '-1'/ E}JJl/IZ-L~ .3L./lfJ <br />/0 / ,~I - J:. / <br />BUILDING SIZE: X ;20 , ~GD Square Feet, 7~ Height <br /> <br />RESIDENTIAL: ATTACII (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATT^~1 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />LBUILDING <br /> <br />$ <br /> <br />~. PERMITS REOUESTED <br />/5tJO, DO <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />NIP 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 _Fr8llle _Steel I.%IV.h7/~')D1 Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'I Lt. <br />YES NO <br /> <br />*********************************..******* <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY f)/.;/J/1 e.R / ~ Cz>/?bA-Gfofi? <br />State Cert. or Regist. , <br />City License Registration' <br />.......*...******.*.....*.*********** <br /> <br />BUIIDER <br /> <br />ELECTRICIAN <br /> <br />Sianature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />******..********************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />*****....*..****..*......*..*..*.***..**** <br /> <br />OTHER <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 />