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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />,.......... <br /> <br />/ <br /> <br />. ~ <br /> <br />PHONE <br /> <br />;; f-~" &.S-'H d <br /> <br />1::-_. <br />...) <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />I' j / ~ ( <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />/ !/' :'If : \ /t.- BLOCK '\ <br /> <br />SUBDIVISION <br /> <br />PARCEL loD.' / / - ~ Co -J-I <br /> <br />I< ~-;) -.f / J - / h <br /> <br />WORK PROPOSED:~New Construction ____Addition Alteration _Repair _Install <br /> <br />_Sign <br /> <br />Move <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 />Co_ercial <br /> <br />_Indust. ____Swim. Pool <br /> <br />;/-. j .~.f < . Other <br />.---.. <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />1,/" X' ~ / 1.) / <br />I':;:> ~, <br /> <br />; '?'-; Ii Square Feet, <br /> <br />;' "r, <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 />LBUILDING <br />ELECTRICAL <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 />MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: Block Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />F'l' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />:1:2<"" / City License Registration, <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />OTHER fIIt:1.4;(f}V'~) COMPANY (\ -I- f) <br />./.5!- / V State ceil. or Regist. , <br />Signat,ure ~.;?V~.p~~~ City License Registration' <br />****************************************** <br /> <br />APPLICATION APPROVED BY .~!~~ ~~ PERMIT OFFICER. <br />