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<br />APPLICATION FOR PEBKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME +fed -51fl nkS 11 yder <br />OWNER'S ADDRESS '3 D G 5 I --ret- (' r- I) r ; tJ c_ <br />JOB ADDRESS 50 t.M Q <br /> <br />PHONE t-; ~5;) - '3 70 I <br />/-.-0 +- ;t) Zef4 y (tt ~ I(S 3 J5VO <br /> <br />LEGAL DESClUP'I'ION: LOT(S) <br /> <br />PARCEL I.D..,~5 /;;..'5/ ~ I <br />, <br /> <br />(Jot 0 <br /> <br />BLOCK SUBDIVISION <br />( 1/50 0 OOOf.)(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-"ew Construction ----Addition --Alteration ~pair -_Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: -5ing1e F_ily <br /> <br />---lt/F _' of Units ---lt/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--.Jlestaurant & Hea1th Departaent Approval <br />DESCRIPTION OF WORK:-fet (' k J1 0 J p ( R. U S e-+ u p <br /> <br />BUILDING SIZE: I). '" X 3(0 -:~Square Feet, <br /> <br />Height <br /> <br />~ <br />r--n <br /> <br />RESIDENTIAL: A'l'TACB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATlACIl (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />~UILDING <br />./ RT.RCTRICAL <br />----1IEClWlICAL <br />-LPLUllBDiG <br /> <br />$ Valuation of Total Construction <br />S'O Alll'Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnON: -...Block ..L"Fr8lle _Steel <br /> <br />Other <br /> <br />FDiISBED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIJTIJ)ER. <br /> <br />Signature ~~ <br /> <br />CONTRACTOR SECTION <br /> <br />mKPANYfu ('J ey . ~.so y~ r:( ~I <br />) I State Cert. or Regist. . E.~O 01 05 <br />~ / City License Registration . <br />.......................................... <br /> <br />J.,f'J...1r1. <br /> <br />RT.RCTRTCIAR . ~~C:V..J... COMPANY LOt Ii ei Air Cr\p:fit'/;0/1('/J3 <br />c::;;:~j, /J 00&.# State Cert. or egist.' E: OOIaz.7~ <br />SignAt.ure -~d 'i -:P City License Registration' b <br />.......................................... <br /> <br />Si~ture <br />... <br /> <br />COMPANY 11-0 I' () -e i ~..~ 0 /[ Ie. Ii <br />i / State Cert. or Regist.' Li A. sO; <br />Dff ch1 ~______ City License Registration' <br /> <br />,~M ...~.....~.::f:2~~::~.:. Y:(} <br /> <br />lJ I.::t:1.. ~ City License Registration' o::J./ ~ <br />.....~~................................ <br />./ '-" <br />". <br /> <br />PLUMBER <br /> <br />IlECBAHICAL <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License R~8~stration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APP.aOVED BY <br /> <br />PERKIT OFFICER. <br />.;', <br />