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<br />APPLICATION FOR PEKKlT <br />CITY OF ZEPRYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAME ti ,{. f-/ r4 f< D <br />OWNER'S ADDRESS :5 {, () !.( <br /> <br />~L-.. {' C D G'.-. ( r< r. (_/ <br />( '( .cl S TeE E T- <br /> <br />PHONE 7 ?'3 ) /.. t (, . <br /> <br />2. E pH (> f! If / L L ~-, <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' II - ;i- 6- ,) f -00 i ()- II Lf () ()- {) {J II <br /> <br />(OBTAIN FROM PROPERTY T4X NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition --Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_De-.olish <br /> <br />PROPOSED USE: _Single F8IIily <br /> <br />---1I/F _' of Units _K/B <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />.-Restaurant & Health Depart.llent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: 8 <br /> <br />-5' r 6 R. /16 r. <br /> <br />.;> Ii FD <br /> <br />,? / <br />X {,! <br /> <br />6t{ <br /> <br />, <br />Square Feet, g 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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ ZO(),OO <br /> <br />Valuation of Total Construction <br /> <br />_ELECIRI.CAL <br /> <br />AttP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECBAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FIRISHED FI.OOR ELEVATIONS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUIIJ)ER COMPANY <br />~ 1t-~ State Cert. or Resist. · <br />Signature .. I City License Registration . <br />, **********.......*......**...***....**..** <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. . <br />Sianature City License Registration . <br />.*****.*.**..*****.**********.************ <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />******************.*********************** <br /> <br />KECBAHICAL 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 />