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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME IV~':"'- P kl-4AiJl tSudu)t(. ~NE ?/-S -7<fR-7 s.2? ,. <br />OWNER'S ADDRESS /::: r &-,: /7/2- I 7~/7/7~, fI::Z ~J':.~- S:; <br />JOB ADDRESS d 8- 00 :b i A WI'l- NJ> A L (/ ,1 P - 0 It: V W A-12. 0 (-t./III/ D S <br />I ( <br />LEGAL DESCRIPTION: LaT(S) # 6 BLOCK SUBDIVISION <br />PARCEL LD.' 1'1- ;2(,.... ~I - C? I /it" - OeJ ~ f!!!J,t:) - DO '-0 <br /> <br />WORK PROPOSED: New Construction _Addition _Alteration _Repair - Install <br /> - <br /> _Sign Move _Demolish <br />PROPOSED USE: Single Family _M/F _' of Units ~H <br /> Commercial Indust. Swim. Pool Other <br /> - - - <br /> <br />Restaurant & Health Department Approval <br />-f ,,' <br />BUILDING SIZE: Z'3 x-.i.:L, to I:J, 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 />VBUILDING <br />v' ELECTRICAL <br />.../ MECHANICAL <br /> <br />$ Zo,ocro <br />I ~IJ AMP Service <br />$ 1./00 ~ <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />~PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: Block ~rame Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />--lfo <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY III-) ~~ 14. It{, r~ <br />State Cert. or Regist. # <br />Ci ty License Registration # 1) H 7,1 [( <br />***************************** <br /> <br />W~ COa~~ert.l~.1l!:/' ~-~L]d; <br /> <br />~ City License Registration' ~)72? <br />************ *********************** <br /> <br />C<>>!PUY I~ ~~ ;t4, (if, <br /> <br />d~~ "State Cert. or egist.' <br />Signature ~A./C.- ~ Ci ty License Registration' f) J/. p.:z.. JY <br />***************************************** . <br /> <br />MIlClWflCA~~;"~UY AD! nit f~ A-/~ <br /> <br />, State .Cert... or fiegist. . <br />Signature . ~ . ~ . City License Registration . :c <br />****************************************** <br />" <br /> <br />BUILDER <br /> <br />Signature <br /> <br /> <br />ELECTRICIAN <br /> <br />.f~ <br /> <br />Si ature <br /> <br />PLUMBER <br /> <br />~~ <br /> <br />9/~~J <br /> <br />'j' yrfY <br /> <br />OTHER COMPANY . <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />