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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />r---/ <br /> <br /> <br />(f ~/ IoD <br />r r ?F79 <br /> <br />'130- C//5J <br />PHONE <br />Lu 7Z- r fi- <br />I <br /> <br />OWNER'S NAME :S-;;~M<.'''- ~Lt. 3/.<, /ct.r.s <br />OWNER'S ADDRESS ;(('oq R~~ n<.... O/1r7::-s ,7)rfl,J-<, <br /> <br />JOB ADDRESS <br /> <br />r.s:._~~v- I/.~~ <br /> <br />Dr/t/..( <br /> <br />PARCEL loD.' <br /> <br />Po ~ I <br /> <br />/7 <br />f/.:;r~ 3 8' <br /> <br />BLOCK <br /> <br />SUBDIVISION ~ ""'M~ ~ <br /> <br />Ml-L- <br />~/~~ <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />Stc....",II1~"-!ltk ..s:;'S /}/l/I S/l71J <br /> <br />WORK PROPOSED:LNew Construction _Addition Alteration _Repair ---- Install <br />_Sign Hove _Demolish <br />PROPOSED USE: )( Single Family _M/F # of Units _M/H <br />, - <br /> Commercial Indust. Swim. Pool Other <br /> - - <br /> <br />_Restaurant & Health Department Approval <br />BUILDING SIZE: #/, , x~, ~C> 9t>.t/r Square Feet, <br /> <br />/ S7Z>~ V <br />, <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 />V"BUILDING <br />V"" ELECTRICAL <br />/MECHANICAL <br />~LUMBING <br /> <br />$ <br /> <br />~O/t?oo <br />.J 00 AMP Service <br />';"'1iJe/ ,...- <br /> <br />Valuation of Total Construction <br />~Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />V---RooFING <br /> <br />SPECIALTY <br /> <br />GAS <br /> <br />TYPE OF CONSTRUCTION: ...K- Block Frame _Steel Other <br />FINISHED FLOOR ELEVATIONS: /P>. FT. IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />-X <br />NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY /RAt! V r. .;LyriS J;. <br />State Cert. or Regist. # eGt!.O/69/7 <br />City License Registration # ~L/J <br />****************************************** <br /> <br /> <br />Signatur <br /> <br />COMPANY s~~ peA fLl'> (? l.. ~.d-r, t l. t4 lr C \\L.0 <br />State Cert. or Regist. # ER...OC~ ~'1 r <br />City License Registration # ~ ~ <br />****************************************** <br /> <br />L <br /> <br />PLUMBER , COMPANY+.J~~ c:9~~1 <br />a. 'k~ State Cert. or Regist. t 11; F " 0 31R '" /I <br />Signature (,~ . ~ty License Registration # /~~ <br />/ *** ************************************** ' <br /> <br />G <br /> <br /> <br />COMPANY S\\~Pj.nt) EL~d-fl'<.. ~ t\\rl. C~tLO <br />State Cert. or egist. # ~ lAQ.O 'H t)"'7 ~ <br />Ci ty License Registration # / / I <br />************************************* <br /> <br />Signatur <br /> <br />Signature <br /> <br />-~ <br /> <br />COMPANY I~ \ rzw-f;",~ G."",-t-n1.C~.- .:I::-<:.- <br />~ State Cert. - r Regist. t _c.c.~qSq7 <br />~ . City License Registration # ~ c\:..L. O;;tiSQ7 <br />********** ******************************* c:'!:r <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />'11 "'Au' "a ' Jj p/) ..d) -<.r- <br /> <br />PERMIT OFFICER. <br />