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<br />APPLICATION FOR P <br />CITY OF ZEPHYRHI <br />BUILDING DEPAR <br /> <br /> <br /> <br />OWNER'S NAME <br /> <br />.5 <br />LAw /IN/) If <br />LA-w I*- t/J>A <br />(pf-fgz, <br /> <br />J-o Of <br />1-coP <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION wA'fw/tfl{) WIND <br /> <br />mH{/ <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />llORK PROPOSED: v;;;;;: Coostruction ~UOll ----..Alteration --Jlepair _Inatall <br /> <br />_Sign <br /> <br />--1fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_M/F <br /> <br />_' of Units <br /> <br />~H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other A LcJlYl( /VuM. <br />- Pfk/....If'/~ <br /> <br />_Restaurant & Health DeparUlent Approval <br /> <br />DESCRIPTION OF WORK: CttP--PDIL-T J l.I-fUJDM.. DnA 'liE. wlii <br />. , <br /> <br />BUILDING SIZE: 17/ x 3t. .~square Feet, g 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 />~LDING <br /> <br />PERMITS REOUESTED <br /> <br />$ 1fS(P. 1,0 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1fECBANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCl'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECl' IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUILDER <br /> <br />CONTRACTOR SECl'ION <br /> <br />COMPANY ~ (D/,,>r1luGr'lotJ () <br />o /J /) IL/) State Cert. or Regist. t <br />/~ 1-/. ~ City License Registration' <br />****************************************** <br /> <br /> <br />R.,. <br /> <br />Signature <br /> <br />RT.RCTRICIAN COMPANY <br />State Cert. or Regist. t <br />SiRnAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration t <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />