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<br />APPLICATION FOR PEBKIT <br />CITY OF ZEPBYRBILLS <br />BUIWING DEPARTHBRT <br /> <br />, . ~ <br /> <br />OWNER.' S RAHE <br /> <br />F\1{Y\Cfl5 fQU)et! <br />Lo"'\~ ~9 <br />51~'f2 P _- ft U OW ~V ~x:-y :::r::: <br /> <br />PHONE <br /> <br />700- J7ro 5 <br /> <br />OWNER.' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' I (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ Construction ---Addition ----^Iteration ~pair _Install <br /> <br />_Sign <br /> <br />----.Jlove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _SiDgle Faaily <br /> <br />---lt/F _' of Units ---lt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />","staurant " B~, ~.'t""taent Approval <br />DESCRIPTIOB OF WORK: (Ib ~ 0 r fDO e V' <br />BUILDING SIZE: C)7 X qtr: !}5~ Square Feet, ~ I Height <br /> <br />RESIDBI1TIAL: <br />COtIMERCIAL : <br /> <br />AtTACH (2) PLOT PLABS &: (2) SETS OF BUILDIBG PLANS &: (1) SET DER.GY FORMS, <br />AtTACH (3) SETS OF BUILDIBG PLANS &: (1) SET EBER.GY FORKS. <br />PROPER.TY SURVEY REQUIRED FOR ALL NEW COBSTRUCTION. <br /> <br />LUG <br /> <br />$ <br /> <br />J300~ <br /> <br />f <br /> <br />PERKITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />RT -RC'I'lUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E,C. <br /> <br />~CAL <br /> <br />$ <br /> <br />Valuation of lIecbanica1 Installation <br /> <br />-PLUHBIBG GAS ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF CORSTRUcnOB: -.Jloc1t -"raae ~teel <br /> <br />Other <br /> <br />FIlIISBED FUlOB. ELEVAnOIfS: <br /> <br />Fl. <br /> <br />IS PROJEC'l IN FLOOD ZOBE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />1t(.4 <br /> <br />, ., f I <br />~ '~:r Cert. or Ilqiat. t C' e <br />City License Registration t <br />............. ............................ <br /> <br /> <br />RUTTDER <br /> <br /> <br />RT.RC'I'lUCIAII COMPANY <br />State Cert. or Regist. f <br />SiDnAture City License Registration' <br />.......................................... <br /> <br />PLUHBER. COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />IlECllANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PEBKIT OFFJ:CER., <br />