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<br />-'".~ <br /> <br />APPLlGATION FOR PERKIT <br />CITY OF ZEP8YRBILLS <br />BUILDING DEPARTMENT <br /> <br />~ <br /> <br />OWNER'S NAME bit IL (? fYJ... DONAt-D ~ r.~fNC \5-1AO~ONE (~/~) '7 i'rg-1'1t..")~ <br />OWNER'S ADDRESS .~ ') a, ~ <? ~A-~ cA V t. ' <br /> <br />~ 7 6j?... <-? (p+- '" A V CI <br />S I> /0 'f""tJOVSh:P ~ So. I< $1f,J ~e <br />~ <br />LEGAL DESCRIP'I'ION: LOT(S) BLOCK SUBDIVISION <br />PARCEL LD.' /;J. D:J.3,S- - OOt)S - c- <br />WORK PROPOSED:_New Construction L......Addition ---^lteration <br /> <br />JOB ADDRESS <br /> <br />~I E. <br /> <br />(OBTAIN FROM. PROPERTY TAX NOTICE) <br /> <br />----..Repair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: 1Single F_ily <br /> <br />--1I/F _' of Units ---..Jt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />----..Restaurant & Health De artaent Approval <br />// 0 <br />DESCRIPTION OF WORK. C. f ~ N fi . Lit ''-.Ob,'V1 Ii D D -' J D.V 5 <br />, .'$')( 1:.-/ i I <br />BUILDING SIZE: {q. xIS: 4-, ")..1"7 Square Feet, Height <br />3ZGf <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br />PERMITS REQUESTED <br /> <br />~UILDIRG <br /> <br />$ /'-1-$0,00 <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECIIAlIICAL <br /> <br />$ <br /> <br />Valuation of tlechanical Installation <br /> <br />~UHBING GAS ROOFING <br />TYPE OF CONSTRUCTION: --X-aloclt _Fraae _Steel <br /> <br />SPECIALTY <br />c.... ~ /11 C tV" Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />Fr. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? L <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRActOR SECTION' <br /> <br />BllTI.DER aJHPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />RT.RCTRICIAR COMPANY <br />State Cert. or Regist. . <br />SiDDAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />IlECBANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />..................*..**.*..**....*.*..*... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />............*............................. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />