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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRlIlLLS <br />BUILDING DEPARTMENT <br /> <br />;J-:20-Cl 3 <br /> <br />OWNElt'S ADDRESS <br /> <br />JOB ADDRESS '€. <br />00/0- 6, U <br />LEGAL DESCRIPTION: LOT(S).3LJ-J,J--J../ - ~ <br /> <br />PARCEL LD.' 3'-l-J.S-~J- 0010-0/30 ~ <br /> <br /> <br />Yd.,;} ~/O~"20JlJ 111lj,jJl~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction vAddition ----..Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: ~ogle FUlily _M/F _' of Units _M/H <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department APproval. J? <br />DESCRIPTION OF WORK: Gt1n.fi1A.i-'- tl-~~ l/..auJ ~ ~ <br /> <br />BUILDING SIZE: X Square Feet. Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br />vELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1fECHAlO.GAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />................................*********. <br /> <br />PLUMBER <br /> <br /> <br />CONTRACTOR SECTIPa.e'H ) <br /> <br />COMPANY , <br />State Cert. or Regist.' ~ <br />City License Registration , <br />*******************.***********. <br /> <br /> <br />~ <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COHPANY-Lkt: ((e-{- Rolxtg !t,u.s <br />State Cert. or Regist. f ~ So 00 (p I <br />City License Registration t 1.(?'7 <br />*************.*****.*****.******* <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />***.***.***.************.*...*.**.******** <br /> <br />Signature <br /> <br />.... <br /> <br />MECHANICAL COKPANY <br />State Cert. or Regist. # <br />Signature City License Registration . <br />.*..........*....**....**.....*...****.*** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />.......................*..........*......* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />