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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />Lr, l"'"\. Ik j 1-;;(/ '1/tJ.-(.!.1' <br />OWNER'S NAME (iJi-' >'~~/ + 6..W(" ' t v L:," '''' (, ') <br /> <br />PHONE 1,f/l-- 7 c6'tj <br />. <br /> <br />OWNER'S ADDRESS '" L{ -;t <br /> <br />1':, r c 1//( (,jr~'o) <br /> <br />))fZ <br /> <br />-, -(..J " L ( <br />,;... ' I L. , <br /> <br />,;e:z ].' Jl-(j <br />1/ _ <br /> <br />JOB ADDRESS <br /> <br />( /fw, t <br /> <br />LEGAL DESCRIPTION: LOT ( S ) 2. ill/k fL /) BLOCK <br />PARCEL LD.' (.I) i..-I ./ -Z{;" >--, 6tJ-~ j'CC''!>c-'' ---CC/",( <br /> <br />SUBDIVISION !J/i- t,:-"Tlrv~. U <br /> <br />J C:~(. ..../ <br /> <br />WORK PROPOSED: <br /> <br />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 />Other <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 /> <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 <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION : _Block Frame Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br />Signature ~ <br /> <br /> <br />COMPANY (If LI <br />State Cert. or Regist. . <br />ty License Registration # <br />**************************** <br /> <br /> <br />Si <br /> <br />OMPANY i..Yr C. 41'5-3 eLL L 712 { e. <br />Sate Cert. or Regist.' L.(J II )/7 <br />ity License Registration' I~ <br />*************************** ( <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />,.' ,,'~""'U" .,\., "~,,,","""'''\'_'':''('' c.' <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration # <br />_.*AA~~********************************** <br />:. <br />.~ <br />";, <br /> <br />Signature <br /> <br />OTHER <br /> <br />COMPANY <br />, State Cert. or Regist. , <br />,,' City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />. ...,..,...,....,,".... . <br /> <br />APPLICATION ~PIlllVIlD BY ':1~L'-'J >i4/"".r <br /> <br />, ...."".."""...A-..,...,......~, <br />. ........ ~... <br /> <br />..j <br /> <br />PEkMITOFFICER,. <br /> <br />t ~ <br /> <br />..-:......'.. .-,: ,...;,-. ,- ~';'~' <br />