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<br />JOB ADDRESS <br /> <br />PETeR <br />3 <6S5 2- <br />-3 Y; s~ 2- <br /> <br />\;J G t.......D <br /> <br />R E" /V\OfL A. <br />f2-E: /V\..olL A <br /> <br />1'0' <br />o '3. ar'1 <br />'I <tY, 0 / 'J-'/ <br />, <br />PHONE j "7 Bg - l 5- L2.. <br />LOT r:;,> 9 <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPllYIUlILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />OWNER'S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---.Al.teration -.:Repair _Install <br /> <br /> _Sign ----"ove _DeIIOlish <br />PROPOSED USE: _Single Faaily _"'F _f of Units _"/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> _Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: A L \.j f\A.. \ IV U I\/\... UOL>~ L2. kooP {)\f~ <br /> <br />'J <br /> <br />{. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square:Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />AtTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (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 /> <br />$ -27/)0. a-V <br />/ <br /> <br />Valuation of Total Construction <br />, <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----"ECllAlilCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ' ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />PlRISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY CIZEr't 7/ V tS Ex 7e."z/ 0/2 S m L ~ <br />~-.L- State Cert. or Regist. f c~ ~ l-3D '2-y <br />{~~ City License Registration f ________ <br />.......................................... <br /> <br />RUTTllER <br /> <br />SilmAture <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />