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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILIS <br />BUILDING DEPAR'l'KENT <br /> <br />OWNER'S NAME ES~en <br />OWRER'S ADDIlESS f.o a. ~ \ <br /> <br />AtK, t..)SO N <br />A~A\E -::J'\. <br /> <br />PHONE ~ ~ d-4~~ 1 <br />"Ze \*1\{I.' \'\ II \.s I FL, <br /> <br />JOB ADDRESS --:SA I\A~' A-S A b/") \J C <br />LEGAL DESCRIP'l'ION: LOT(S) BI.OCL..-.SOBDIVISION G~~S I OE'- <br />PARCEL I.D.' ~- ~~ ~62{ -~D-oo~CO -~/h (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ---..Addition ~teration ~pair ~Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />-Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1i/F _' of Units ---1i/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--Restaurant Ii Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />TYlo &Iur "'n-vvt <- f rn F- ~LJ~ <br />7,~ ~re Feet. Height <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />IlESIDERTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET EHERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />-BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC1'RICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.JIEClWllCAL <br /> <br />$ <br /> <br />Valuation of tlechanica1 Installation <br /> <br />-PLUMBIliG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIJSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAfiOlfS: <br /> <br />Fr. <br /> <br />IS PROJEct IIi FLOOD ZOO AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRActOR SEctION <br /> <br />BIITI.DRR <br /> <br />COtIPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RI.RCTRICIAII <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SiMaJllture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />KECBANlGAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.....................................~..~.M~ <br />P1$t<f"v-\ ~~ <br />COMPANY ~ ~ ) ~ 04 <br />iY/VfJJ.Av State Cert. or Regist.' (' I~ . O~3q "11..- <br />City License Registration f <br />.........*................................ <br /> <br />Signature <br /> <br />OTRRR <br />Signature M,~ <br /> <br />APPLICAfiON APPROVED BY <br /> <br />PERMIT OFFICER. <br />