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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIlYRIIILLS <br />BUILDING DEPARf"ENT <br /> <br />-I. <br /> <br />OWNER'S NAKR <br /> <br />UJ " J I.,..... WI.. i=" <br /> <br />~ <br />. <br /> <br />A V\d--t..-e,~ ~. AI 7 -e <br />J-Iv...(\. + DC'. ~l eo s/-e.. 'I <br />( <br />8\vA <br /> <br />DlIONE t5 I 3 - '1 7 3 - ~ ~ 6- ~ <br />L k I'\.p -e I j r:- L. 3.3 ~ '13 - 4a Lf r <br /> <br />OWNER'S ADDRESS .S 3 0 6 <br /> <br />~O'l- <br /> <br />JOB ADDRESS <br /> <br />, h g s- y- . .. 6--- \ l <br /> <br />LEGAL DES~~PTION: LOT(S) <br /> <br />BWCR <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.0.' 3-dh - d-I -OOj () - Ol{ t)O~Oo' 0 <br /> <br />(OBTAIN FROM PRO~ERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ----^ddi tion ---"'Iteration _Repair _Install <br /> ~Sign -.JIove _Deilolish <br />PROPOSED USE: _Single Fa.ily ----111 F ____' of Units ----111 H <br />" Aeo-.ercial ____Indust. ____Swim. Pool _Other <br /> <br />~estaurant &: Health Deparu.ent Approval <br /> <br />DESCRIPTION OF WORK: ~ 1'- ":.~\... <br />Of'oe. {'u....\\ ~ <br /> <br />e '1-,' " \ \ ~ <br />Cdfr,,-I AI"-cA. (t,....~-e+ ~ 6-r.'ll ot.... &-1'5~t ~.-~ <br />Height e\"'--\J <....:~.,'Ot--. 0...... Fr..,,--\- ~\'\."c..A,'o" <br />0"-'1 6c\J~1'- Corr....\ tn' b-e. <br />ATTAGlI (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGr"'-~OiUts. - <br />ATTAGlI (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />x <br /> <br />W"- <br />ij\.c.I.....cl,.~ <br />Square Feet. <br /> <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />~ILDING <br />./ ELEGTRICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />9~ C). "";.. <br /> <br />Valuation of Total Construction <br /> <br />NIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-1IEGIIAIIIGAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~LUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: __lock _Fra.e _Steel <br /> <br />Other <br /> <br />FUNISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />BUIWER <br /> <br /> <br />YES NO \ <br />.................................................................. . ,;; A <br />,( 1.'1.. ~ So. "'t. l( 4 .... <br />(A\ ~,>r <br /> <br />COKPANY () : 'I- " e> _ S I ':7 I'- ~ d-{\.. c - <br />Sate Cert. or Regist.' . c~ &I 0 {Jet.> 7.3 <br />City License Registration .../ r,fxlo <br />................................... V <br /> <br />Signature <br /> <br />COHP^NY_O~ tc~~ - 5,'5"-S cr-f'(' <br />~~tate Ceet. or Regist. f F!:. <,00('0 73 <br />City License Registration' /~~'~ <br />..................................................... ~ <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />................................................... <br /> <br />tlEGIlANIGAL COHPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />.......................................... <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.~............~............................ <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />