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<br />APPLICATION FOR PBRKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br /><?..L~ fJ / a -/0 :.y Y <br />/,':? t)-PH <br /> <br />~rf,d~ <br /> <br />.~ /3l C-a II--AJ uJ2 <br />5/ ~ ~ (}q Ii Y; /u cJ. <br /> <br />LEGAL DESCRI.Pr1ON: LOT(S) 3 - {p <br />PARCEL I.D.' ~,.. l' - 2& -,.;ll <br /> <br />WORK PROPOSED:.1...ew Const.ruct.ion ----..Addit.ion ---...Alt.erat.ion <br /> <br />OWNER'S ~~ <br /> <br />PHONE <br /> <br />1''8D <br /> <br />7?fD7 <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />B~SU8DIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~pair_Install <br /> <br />~Sign <br /> <br />---1Iove <br /> <br />-Deaolish <br /> <br />PROPOSED~E: ___S~eF_i~ <br />~eo-ercia1 <br /> <br />---1I/F _' of Unit.s ---1I/H <br /> <br />___Indust.. ___Swia. Pool _Other <br /> <br />---..Restaurant. Ai: Health Departaent. Approval <br />DESCRIPTIOR OF NORK: X n ~ II ;:>1"1 Ie ~; B ~. <br /> <br />BUlLDIRG SIZE: <br /> <br />x <br /> <br />Square Feet., <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />COMMERCIAL : <br /> <br />ATTACII (2) PLOT PLARS Ai: (2) SETS OF BUlLDIRG PLANS Ai: (1) SET ERERGY FORHS. <br />ATTACII (3) SETS OP BUlLDIRG PLANS Ai: (1) SET ERERGY PORHS. <br />PROPERTY SURVEY REQUIRED POR ALL NEW CORSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UlLDIRG <br /> <br />$ <br /> <br />Valuat.ion of Tot.al Const.ruction <br /> <br />RT.RCI'RI.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />N.R.E.C. <br /> <br />---1IECllAlfICAL <br /> <br />$ <br /> <br />Valuat.ion of tlechanical Installat.ion <br /> <br />.-PLUtlBIRG GAS RooPING <br /> <br />SPECIALTY <br /> <br />TYPE OP CORSTRUCTIOR: ---.-Block ___Pr_e ___Steel <br /> <br />Other <br /> <br />FIIIISBED FLOOIl ELEVAITOIiS: <br /> <br />FT. <br /> <br />IS PROJECT IIi FLOOD ZONE AREA! <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CORTBACTOR SECTION <br /> <br />BUlI.DER <br /> <br />COKPARY <br />State Cert. or Regist. , <br />Cit.y License Registration . <br />.......................................... <br /> <br />Signature <br /> <br /> <br />COMPANY <br />Stat.e Cert.. or Regist. . <br />City License Registration . <br />..................................... <br /> <br />COMPANY <br />State Cert.. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECllAliICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR ~ Q L COHPARL- VY\c':5TT Us A-j I tJ (' I <br />'. Stat.e Cert. or Regist. , <br />Signature OA', m Cit.y License Registration' 'iq t; <br />.......................................... <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />