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<br />APPLICATION FOR PEBIIIT <br />CITY OF ZEPBYRIIILLS <br />BUILDING DEPARTHERT <br /> <br />OWNER'S NAHJLDo i') A L D <br />OWNER'S ADDRESS ...:T 6 4/ <br />JOB ADDRESS ~ <br />LEGAL DESCRIPl'ION: LOT(S) t, ~ '7 BLOCILL.tl..SUBDIVISION <br />PARCEL I. D.' /1 .- c:< '" - c2 / '- 00 I t) -I tJ 9 t) 0 - 0 0 ~ 0 (OBTAIN FRON PROPERTY TAX NOTICE) <br /> <br />S P 11 L{ I d I' Yl 3 <br />v <br />dl~ <br />19 <br /> <br />PHONE ~/3'~ 788'- O,-/? 7 <br /> <br />WORK PROPOSED:~ew Construction ---Addition ---..Alteration ~epair _Install <br /> <br />_Sign <br /> <br />~ve <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--.Jt/F <br /> <br />_, of Units --.Jt/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool <br /> <br />.2l..0ther ~ L <br />cr~ <br /> <br />-Restaurant Ii: Health Departaent Approval <br /> <br />DESCRIP'rION OF WORK: ~ ~~..?; ~ s:L ~ ~ <br />if I <br /> <br />BUILDING SIZE: /.;;< .; X )~ : c2 /6 Square Feet, J {' Height <br /> <br />RE5IDEIITIAL: ATTACH (2) PLOT PLARS Ii: (2) SETS OF BUILDING PLAHS Ii: (1) SET ENERGY FORMS. <br />cottHERCIAL: ATTACH (3) SETS OF BUILDING PLAHS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PEBIIITS REQUESTED <br /> <br />~UILDING <br />X RT.RCTRICAL <br /> <br />$ ~~, <br />~;t) <br /> <br />~ <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />x <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----ltEClWlICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />~ING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: -Block ~FraIIe ~Steel <br /> <br />Other <br /> <br />PDIISIIBD PI.OOR ELEVAnONS: <br /> <br />Fr. <br /> <br />IS PROJEct IN FLOOD ZOO AREA'l .....":;L <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RIJTTJlRR ~J.A...... <br />Signature' IY J l' J AI t.,,;~~ <br /> <br />COtIPABY ~ <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />RT RCTRICIAR 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 />IlECBANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COKPABY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PEBIIIT OFFICER. <br />