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<br />APPLICATION FOR PERtIIT <br />CITY OF ZEPHYRHIu.s <br />BUILDING DEPARTHENT <br /> <br />U -, J <br />' '. ---' <br /> <br />~~7'/m. / #/./k'.<; 7d PHONE <br />~.7YO 9'm --5TtC.EE r <br /> <br />~ t:.-. As .4cv €-,; <br /> <br />LEGAL DESClUPTION: LOT(S) /.3 ~ /y B~SUBDIVISION <br /> <br />OWNER'S IIAHB <br /> <br />R /3 - 71:'-" LJ fn.2.. ...- <br /> <br />OWNER I S ADDJUlSS <br /> <br />JOB ADDRESS <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:--Jlew Coaatruction ~ition --..Alteration ---..Repair _lDatall <br />-5i8O --.JIove ->>e-G1ish ~~ <br /> <br />PROPOSED USE: -5iD&le F..ily <br /> <br />--lf/F _' of Units --lf/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---..Restaurant 5: ~~~t Approval . , <br />DESClUPTION OF WORK: ' ~ / _ ~a...~ <br /> <br />BUILDING SIZE: ~. <br /> <br />Square Peet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COIIItERCIAL : <br /> <br />ATTAQI (2) PLOT PIAIIS 5: (2) SETS OF BUILDING PLANS 5: (1) SET EHERGJ F01I!IS. <br />ATTAQI (3) SETS OF BUILDING PIAIIS 5: (1) SET EHERGJ FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-BUILDING <br /> <br />$ <br /> <br />PERtIITS REOIJR.'>TED <br />/t!JR3 . 00 Valuation of Total CoDBtruction <br /> <br />RI RCJ'RICAL <br /> <br />AIIP Service <br /> <br />_Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />-.JIEQWIICAL <br /> <br />$ <br /> <br />Valuation of tlechanical lDataUaUon <br /> <br />-J'UIIIBING GAS ROOFING <br /> <br />TYPE OF CONSTRUCTION: -Block _Fr_ _Steel <br /> <br />SPECIALTY <br />~ <br />Other <br /> <br />FIIIISIIED FLOOR ELEVAUONS:--T1'. <br /> <br />****************************************** <br /> <br />IS PROJECT IN FLOOD ZONE AREA! _ <br />YES 11I0 <br /> <br /> <br />Sifplatur <br /> <br />CONTRACTOR SECTION-1) <br /> <br />COtIPAIIY~ '/:)...l/L1()v <br />State Cert. or Regut. . <br />City License Registration . <br />.............................. <br /> <br />P&K~L <br />~97 <br /> <br />IIlU.IlII. <br /> <br />SiDft.t.ur~ <br /> <br />COHPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />EIoIImII <br /> <br />COtIPAIIY <br />State Cert. or Reaist. . <br />City License Registration . <br />.......................................... <br /> <br />Sifplature <br /> <br />NRCRAUICA.I. <br /> <br />COtIPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Siguature <br /> <br />JD1III <br /> <br />COtIPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Siguature <br /> <br />APPLICAUON APPROVED BY <br /> <br />PEIlHIT OFFICER. <br />