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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILI..'i. <br />BUILDING DEPARTMENT <br /> <br />t - <br /> <br />11 <br />/' <br />-D <br />s <br /> <br />OWNER'S NAKE \.Zc rU rv e ..l--h C-Qe ~Sc:::. <br />OWNER'S ADDRESS ~Bo \<O<tfQ O~k~<-Q" ., <br />JOB ADDRESS "5 r:f 35 0 ~ UJ a.J2f) ~ '--- <br />LEGAL DESCRIPTION: LOT(S) 4 ~ <br /> <br />PHONIt <br />~LA <br /> <br />,.- <br /> <br />/#~r <br />-1 <br />P. A. -, ~Ob 2 . (j ~~ 4 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />W4J?flW6c7P <br /> <br />PARCEL I.D.' \0 -~lo . -:;;)..\ ~ Ol20.oooo0 . D<fflD <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ---.Addition ----..Alteration ~epair _Install <br /> " <br /> _Sign -.Jfove -Deaolish <br />PROPOSED USE: ~ingle Faaily ----1t/ F _, of Units _"/H <br /> _CoIaercial _Indust. _Swim. Pool ~Other <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: S l.o <br /> <br />-Restaurant & Health Department Approval <br /> <br />~~ <br />, I' I <br />X 5'1~ 1~,,'3 Square Feet, <(" <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br />_ELECTRICAL <br /> <br />PERMITS REOUEST~ <br />$ G,O,D00 Valuation of Total Construction <br />. <br /> <br />~O 0 AMP Service Florida Power Corp. <br />$ d. So 0 Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_HECIIAliICAL <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ---.Jllock _Fraae k....Steel Other <br />PlBISHED FLOOR ELEVAnONS: 8 S- FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />............*******.********************** <br /> <br />YES <br /> <br />~ <br />NO <br /> <br />BUlLD~ <br />Signatur~ .~ <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ~c.- ~~ .~ <br />~ State Cort. 0 Regist. # C'.p.r . 03 5/34 _ <br />c- City License Registration # 8. q4- <br />****************************************** <br /> <br />~ <br /> <br />'" . ~ /V\:--\ ';.JL.a --l I <br />~?/.~ . / ~ COHPANY~\O-.\lA.M . .c.\AM:... <br />.//. .-' State Cert.. or Regist. # EAt-" OOl"~ "44~ <br />: - a{C-o..- j . ~ (City License Registration # ~ 'Z'l <br />***************************~************** <br /> <br />-- <br /> <br />~ <br /> <br />Signature <br /> <br /> <br />COMPANY fJe;'J\.:)N ~s. \.A)'~ II (A'W\ <br />State Cert. or Regist.' F 0 <br />City License Registration # <br />**************.************* <br /> <br /> <br />~ <br /> <br />PLUKB~ <br /> <br />17 <br /> <br />~ .......... COMPANY ~~ ~ c......-JL ~ <br />.J _ \,) ~ State Cert. or Regist. f' p.f3 -. 64 ~4~ ~ <br />Signature ~ ~~~ City License Registration * <br />*********** **************************** <br /> <br />2IIIIm /~ COHPANY~ c.w,~ J ~ <br /> <br />.,,",,~ State Ceror Regist. # e.~bb(.,((...4b ~. <br />Signat~ - _' City License Registration # ~ ::2 ~~_ <br />.*.*.***.********************.************ <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />