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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER I S NAME r::;uI- r&'.Y fl P/ / () e; / ,iP ~ _ 4 _ ~ PHONE . <br />llIIIlBR'S ADDRESS ,YJ? il-P ?/t'/ I {If{ LV <;L ~ rnf"'- ~-' 1.// ~ ,r/ (:s- ~/ <br />JOB ADDRESS L5~~L/ tft/!// ,t/5//C::::/ :2.~/~40-.rh</~, F/ 3'@S-p'/ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.' 1/- .;). 6- (:J. I - () 0 ( 0 - () :J... 00 - (J~'j() <br /> <br />WORK PROPOSED:_New Construction ~ddition ____Alteration _Repair ____Install <br /> <br />_Sign <br /> <br />Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: <br /> <br />Single Family <br /> <br />_M/F <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_Commercial <br /> <br />_Indust. _Swim. Pool <br /> <br />Other <br /> <br />____Restaurant &: Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x_, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: A'l"J.'ACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET DUGY FORMS. ** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br />ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_V.R.E.C. <br /> <br />MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _FraBle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fl'. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br />/ C<IIPAIIY q!;5 <1;;~// &451',...- <br />~ ~~~ State Cert. or Regi t.' C~/2..--..33S--- <br />(. \ /11' 0 ~~>~~ \ City License Registration' . if? <br />~ ' ****************************************** <br />COMPANY r:;e -1' t (-. / ff S ~ f~/p C( If " C <br />State Cert. or Reqist'. , 00 If :;-/7 <br />City License Registration' /~cl <br />**'**************************************** . <br /> <br />Signature <br /> <br /> <br />~LUMBER <br /> <br />v COMPANY <br />State Cert. or Regist. , <br />City License Registration' <br />****************************************** <br /> <br />Ugnature <br /> <br />~ECHANICAL COMPANY <br />State Cert. or Regist. , <br />~ignature City License Registration. <br />****************************************** <br /> <br />lTBER COMPANY <br />State Cert. or Regist. , <br />Jignature City License Registration' <br />****************************************** <br /> <br />~PPLICATION APPROVED BY PERMIT OFFICER. <br />