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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBIu..s <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAME 6/44 N' 0 f-/ () (z (20# M /-I. P . <br />9~. Anl)--WfiB t;}l~ '1 ~ Cflv9:.;./ S i.-{) pE D i2. --:--.-----__ <br />JOB ADDRESS 37Gt If L()[26V/f AVE. Lo r 130 <br />LEGAL DESCRIPTION: LOT(S) BLOClL--SUBDIVISION&e14N& /-I-6fl( 20/11 fVI-IJ- f'. <br />PARCEL I. D.' 54-- 2 t; - 2-( - 00 I D - 0 2roo - 0 I 3 '0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE <br /> <br />1t Z - I (), 'f <br /> <br />WORK PROPOSED: vNew Construction --6ddition -...Alteration _Repair ~Atall <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: ~ingle Faaily _KIF _' of Units _K/H <br /> _<=<-ercial _Indust. _Swia. Pool _Other <br /> <br />_Resta~t &: Health Departae~pproval ~7 ) <br />~ . ~ <br />DESCRIPTION OF WORK: IlxfV .5:c.rzcGv /ZooM},J=-x SHt=o I2..K 2(., c."AflPOILr <br />, / <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />sLfLl <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATlACB (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMKERCIAL: ATlACB (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UlLDING <br />~cnuCAL <br /> <br />PERMITS REOUESTED <br />$ I O~tj {- {)"3 Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />L--./ It US S H {3 0 <br />W.R.E.C. <br /> <br />--1IECBAIlICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />~mmING GAS ROOFING <br />TYPE OF CONSTRUc.nON: _Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIlUSBED FLOOR ELEVAnONS: <br /> <br />Fl" . <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..................................*.****** <br /> <br />BUTT .DRR <br />Signature ~ ;J. <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY f Ii c aII~ <-TIDI..! <br /> <br />n,. /' State Cert. or Regist. . C <br />~~ City License Registration . <br />*.***********************.***.************ <br /> <br /> <br />FL, <br /> <br />RT.RCTRICIAN <br /> <br />SiQflAture <br />. . <br /> <br />11{,~ <br /> <br />/}, <br /> <br />COMPANY !4Ge l;;U= C,(l (<- <br />State Cert. or Regist. . <br />City License Registration # <br />***...******..************..************** <br /> <br />CUJ <br /> <br />. <br /> <br />1t?'1 <br /> <br />PLtDlBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />**.*..*.*..**..*..*..**.*.*.**...*..*...*. <br /> <br />IIECBAIlICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />..*.....**....*.*.....*..**.....*......... <br /> <br />OTR"RR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />.....*..**.****..**.*...*.*...*..*.*.*..** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />