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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME ;tit; ~fi; /UII~ -.. PHONE <br />OWNER'S ADDRESS arb ft,> _At~aJrJu./(Jo~ L,or <br /> <br />, <br /> <br />JOB ADDRESS <br /> <br />~ i':n~ ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~'.!'AAw/,~ <br /> <br />PARCEL I.D.' I~ - .(;1 b <.;)/ - 6/ Vo - 08 G> a cD - 6 V?i) <br /> <br />WORK PROPOSED:_New Construction ~Addition ~Alteration _Repair ____Install <br />~c('eel1 TV-- <br />_Sign _Move _Demolish <br /> <br />PROPOSED USE: \: Single Family <br />_Commercial <br /> <br />_M/F <br /> <br />_' of Units <br /> <br />____M/H <br /> <br />Indust. _Swill. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Department Approval <br /> <br />c;; cr e~ lJ.ecJ"", <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 />$ B ,/75' eEl. <br /> <br />Valuation of Total Construction <br /> <br />_BUILDING <br />ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br />PLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />~PECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Frue _Steel <br /> <br />,4(." IAA. /':'"ua.. Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />2::.. <br />NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />()'1'BER COMPANY <br />~ ~ State Cer . 0 e :1st. I <br />Signature ~../ Ci ty License Registration I <br />****************************************** <br /> <br /> <br />~PPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />