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<br />" . <br /> <br />APPLICATION FOR PERMIT <br />CI TY OF ZEPIIYRlIlLLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br /> <br />PIIONE7Z.11~3~~qtf <br /> <br />OWNER · S AUDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCR <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.t/d) 0(, rfll ~, ()Ot"J/'.u) ~.3ro <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ~dition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~..FamilY <br /> <br />____M/F <br /> <br />_# of Units _HIli <br /> <br />_Collllllercial <br /> <br />_lndust. <br /> <br />_Swim. Pool _Other <br /> <br />DESCRIPTION <br /> <br />_Restaurant · lIea1th Departaent Approvd 4 ~ /J <br /> <br />OF WORK:F....t- OliO..; 50~ ~~ 01;., /.K:;J ~. <br /> <br />X Square Feet, lIeight <br /> <br />BUILDING SIZE: <br /> <br />RES IDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTAL11 (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />/' ELEL......lCAL <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuat:ion of Hechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Fra.e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTIO~ <br /> <br />y-BUll.DER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />u City License Registration f <br />*************************************** <br /> <br /> <br />Signature <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />KECHANI~ COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />****************************************** <br /> <br />2IIlER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVE., BY PERMIT OFFICER. <br />