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<br />OWNER'S N <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlIlLl.S <br />BUILDING DEPARTMENT <br /> <br />L(~(~ <br /> <br />BI:J -85~-ijLJ 20 <br />~. J'!J(p2,L, <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: WT(S) ClLU1c:mcY BWCR <br /> <br />PARCEL I.D.,02-2(0- 2/-0010-0':XcoO-CO/t;? <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PRO~ERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ---^ddition ---^lteration ~epair _Install <br /> V Sign ---"ove _Deillolish <br />PROPOSED USE: _Single Faaily ----11/ F _' of Units _M/H <br />" _~ercial _Indust. _Swia. Pool _Other <br /> <br />~estaurant &: Health Departllent Approval /l L _. 11 .1) <br /> <br />DESCRIPTIOR OF IIORK:J1rWn_Q..t~ (2) fJ0io ~ ~. UOh\JYWIcfJri:t:v.D <br /> <br />BUILDING SIZE: X , J 1?J 0 Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTAQI (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTAQI (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br /> <br />~ COO ~V <br />$ I <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />~LECTRlCAL <br /> <br />AttP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1fECllARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~lock _Fraae _Steel <br /> <br />Other <br /> <br />FIRISHED 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 />COI\FARY Vi ~ Ie.. 6,~ n 5 <br /> <br />State Cert. or Regis . . f;S- oooc:o ,3 " <br />ity License Registration . '?)'X(~'J Ii (J <br />......................... <br /> <br />BUILDER <br /> <br />COHPANY I), Y I e S,Cj() 6 <br />State Cert. or Regist. . ~S- 0000013 <br />City License Registration . <br />................................... <br /> <br />PLUtlBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />HECllARICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration' <br />.......................................... <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.............~............................ <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />