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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />,q LMf'Il1~1l-7f <br />/ /15 0" :l-~" ~F' <br />\ ()" / <br />,~ --SU <br />-~1')" <br /> <br />OWNER'S NAME <br /> <br />$]> '8()'bZ'( <br />(f'ir ? 2- ~c..L.I</ 6S, <br />WN~~ 5 If Iff? <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL LD.' <br />WORK PROPOSED: New Construction _Addition Alteration _Repair - Install <br />_Sign Move Demolish <br />PROPOSED USE: Single Family _M/F - # of Units _M/H <br /> Co_ercial Indust. Swim. Pool Other <br /> - - <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: -3.k.x c?-2-, 5uU:t.A! &t1f Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />_BUILDING <br />ELECTRICAL <br /> <br />$ <br /> <br />1(17~'oU <br /> <br />PERMITS REQUESTED <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 <br /> <br />- <br />. <br /> <br />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 /> <br />CONTRACTOR SECTION <br /> <br />COMPANY 5O~~~)f p.,fJif <br />~ ~ ~ State Cert. or Reg1st. # <br /><.vff ~ Ci ty License Registration # _ 7::Z <br />****************************************** <br /> <br />Signature <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 <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <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 />APPLICATION APPROVED BY <br /> <br />tJ~~fx~~t~ <br /> <br />PERMIT OFFICER. <br />