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<br />. . <br /> <br />\ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />Owml'S --1!1.Il./lJAJ(YJ4jNl'-' PBOIlE(p!)??Z--fOfo <br />OIiIfER'S ADDRESS f () t50>!:::...5Y (, 01'1 /kA .-/~ <br />JOB ADDRESS 5 ./ f/ / X)ttl.sA,/t.t- D^-. 2. '" ~,(,. lis <br />LEGAL DBSCRIPTIOII: LOT (S) P3 BLOCK SUBDIVISION ~ (y c!y {<-'^-' ~ V d ~._ <br />PARCEL LD.# JO--l&-lJ- O/Zu-OOuVJ... Of-3D <br /> <br />WORK PROPOSED:~Construction Addition _Alteration _Repair Install <br /> - <br /> _Sign Move Demolish <br />PROPOSED USE: ~le Family _M/F _# of Units _M/H <br /> Co_ercial Indust. _Swim. Pool Other <br /> - - <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x_, <br /> <br />Square Feet, <br /> <br />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 />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br />_ELECTRICAL <br />MECHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <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: <br /> <br />Block Frame 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 SECTION <br /> <br />BUILDER ) ~ CI>>lPANY u), ,4, tVE-Vhl4"''"'' <br />~ State Cert. or Regist. # <br />Signature ~ ~t:I '" City License Registration # <br />. ****************************************** <br /> <br />00 'Z-O~ z., '-j <br />CJ'i <br /> <br />PLUMBER <br /> <br /> <br />COMPANY C&n",(,-"C " to- J Ji.....^ v.'" , - <br />State Cert. or Regist'. # 00 Ct, 'f'lr <br />City License Registration # ,~Qb <br />****************************************** <br /> <br />Signature <br /> <br />COMPANY C~&JM~,d .fJJ..,~ (;.,t <br />State Cert. or Reg st. # <br />Ci ty License Registration # )' '] \ <br />****************************************** <br /> <br />OTHER <br /> <br />ct~ <br /> <br />~~' COMPANY K;....~~~ (,.,..JJ(..A" / <br />( State Cert. or Re ist. # 00 f.-'/ )"'L <br />1_ ---'-~ City License Registration #7 I <br />************************************** <br /> <br />COMPANY (}I/Yi,J t'OO",,;'; ~ <br />State Cert. or Regist.' no ~ t.t-( / <br />.- Ci ty License Registration # "lIe) , <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />t- <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />