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<br />l <br /> <br />~ <br /> <br />OWNER'S NAHE <br /> <br /> <br />I <br /> <br />(J>;\ieJ /J ), I :r/l '0 <br />1;/01 L ~#vbl <br /> <br />61:1 -111- () 05" <br />~~J""1 cty~ / ;1..,; ~ <br />~/~~~I de. 331''1 J <br />5>//;~ ()~ <br /> <br /> <br />APPLICATION FOR PERMIJ <br />CITY OF ZEPIIYRlIlLLS \ <br />BUILDING DEPARTMENT . <br /> <br />OWNER'S AUDRESS <br /> <br /> <br />Le~js <br />sJ-e ~,o)~ <br />, <br /> <br />oJ, .~"- ~~ <br />q~ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.# 03 - 2l:, -2-./-~'1lo <br /> <br />SUBDIVISION <br /> <br />Vf)doO - "9/'o <br /> <br />COBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: --.2{single Family <br /> <br />____H/F <br /> <br />____# of Units _H/8 <br /> <br />____COIIlIIIercial <br /> <br />_Indust. <br /> <br />____Swim. Pool ___Other <br /> <br />_Restaurant & <br /> <br />DESCRIPTION OP WORK: <br />BUILDING SIZE:~~~ <br /> <br />)f~/... <br /> <br />X 5'z.'f, t5"'3 J <br /> <br />Health Department Approval <br />J!. ~"- <br />If) t j?/v/.- t~;... <br />Square Feet, lIeight <br /> <br />f!-~,l~ <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTAL11 (3) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />PROPERTY SURVEY, REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />X BUILDING <br />>< ELELJRICAL <br />X-MECHANICAL <br />XPLUMBING <br /> <br />$ PJ1t 1OD"'-- <br /> <br />) S-D AMP Service <br />$ J ;sou- <br /> <br />Valuation of Total Construction <br /> <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: Xnlock _FraJlle _Steel <br /> <br />Other <br /> <br />YES <br /> <br />X <br />NO <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />......................................*... <br /> <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY gin fl ?~~ 1:Jk-. <br />State Gert. or Regist. # Cfl-t OS-;I'~ /' <br />City License Registration' Z 6 I{ V <br />...**.......................*..*.........* ' <br />.' , <br /> <br />Signature <br /> <br />COMPANY tfa r-It;) [='{~.cl-r. l~ <br />State Cert. or Regist. # <br />City License Registration <br />.**.*********..****..**********.*.*.*****. <br /> <br /> <br />JI1. =- <br /> <br />~~q <br />, <br /> <br />,01 fO(L ~ '.I) <br />PLUMBER <br />Signature V\~ J( <br /> <br />COMPANy8 <br />State Cert. or Regist. t <br />~~~ City License Registration t <br />******************.****.****.*****.*****.* <br /> <br /> <br />Signature <br /> <br />B' COMPANY ~~. J <br />4 J~. - State Cert. or Regist. t!lJt.tI"" Uf / ItA (;1,)/'6 '1(,r/ <br />r~~ City License Registration' ~, <br />*...~..*.**.*...**.***..***......*...*.* <br /> <br />COMPANY (JA/JI.... fZ.,.;f-, <br />State Cert. or Regist. # <br />City License Registration # <br />**.*****.*******...**********.********.*** <br /> <br />KECHANlCAL <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />