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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBnUlILLS <br />BUILDING DEPARTHERT <br /> <br />b -.30 -'1? <br /> <br />OWER'S lWtE "f$RJ,\~13{JT' n~<=; I~""V~ , <br />OWER'S ADDRESS /9ro...C)/ RpV{l-F 1?,1};uJUS JiL I/O <br />JOB ADDRESS (0202 SLLVE:Jl ,OAr<=-: 7)12 <br />LEGAL DESCRIPTION: LOT(S) 6 BLOCK SUBDIVISION..:sGivEk' DR~ ?~ <br /> <br />,":- 0' <br /> <br />PARCEL I.D.I' 3- 2...10- 2..f-'OI2A - Q~ - no80 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:--..Hew Construction ~ddition --..Alteration -.Jlepair Tnatall <br /> <br />PHONE 9q/~ 73a <br /> <br />.; 1'. <br /> <br />_Sign <br /> <br />----1Iove <br /> <br />---Peaolish <br /> <br />PROPOSED USE:'/-. SiDgle Fa.ily <br /> <br />---1.t/F _' of . ,Units ---1.t/B <br /> <br />_eo..ercial <br /> <br />_Indust. _Swia. Pool . _Other <br /> <br />-.Jlestaurant & Health Departaent Approval <br />DESCRIPTION OP WORK:L)N(-.t-~)f: eX {, ITltJB (>A TIP ;5t..-A:R 1Af' ALUfliJJ~t...5~R~ <br />BUILDING SIZE: ;J/) X Ie) , Square Feet, Height <br />. <br /> <br />RESIDEBTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET DERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY PORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />----..BUILDIHG <br /> <br />Ii ~ <br />/sOO <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />'~t ,I :. . <br /> <br />. '11 <br /> <br />RI.F.C'l'lUCAL <br /> <br />AHP Service <br /> <br />Florida. Power Corp. <br /> <br />W.R.E.C. <br /> <br />----llECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />---YLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OP COBSTRUCTION: ----..Block _Praae _Steel <br /> <br />Other '. <br /> <br />FDlISBED' FLOOR BLEVAnOBS: <br /> <br />FT. <br /> <br />. IS PROJECT IN FLOOD ZOBE AREA'l <br /> <br />YES . NO <br /> <br />****************************************** <br /> <br />BUJI.Dm <br /> <br />CONTRACTOR SECTION" <br /> <br />=~r~~~~~ <br /> <br />City License egistration' . <br />*************************************** <br /> <br />PLUMB~ <br /> <br /> <br />COHPANY <br /> <br />Signature <br /> <br />HECllARICAL <br /> <br />Signature <br /> <br />City License Registra n <br />******************.*.*........**..**.**.. <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration , <br />*****.**..**.*************.*************** <br /> <br />Signa <br /> <br />APPLlCAnON APPROVED BY <br /> <br />P~~~vmCER. <br />,..,...,~, ,..,')?;...."" ,;~~... <br />. ~,. . ,..i.-....... .,);llIj ilia) <br /> <br />/~.-1 <br />'. \ <br /> <br />. eel <br />