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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYBBILLS <br />BUILDING DEPARTHERT <br /> <br />OWNER'S ADDRESS <br /> <br />~4fi.e <br />.3 7<d'-o:l.. <br /> <br />aye <br />/l?e-~(c-_I <br /> <br />PHONE ?fJ3- ?8'~ - ~ 79'..6- <br />4/{ 15 ~i//< ,,I- <br /> <br />OWNER'S HAIlE <br /> <br />JOB ADDRESS <br /> <br />..5 ~.~ -e <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:.-6ew Construction ~ddition --Alteration ___epair _Install <br /> <br />vSign <br /> <br />---1fove <br /> <br />-Deaolish <br /> <br />PROPOSED~E: --fl~eF~ily <br />/eo-ercial <br /> <br />----",'F _' of Units ---.Jt/H <br /> <br />_Indust. --flw1a. Pool _Other <br /> <br />___estaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: /1Y5~/1 iJt'rJ'NP ~7/v d- /1fO.AlcI"'""'7 eN?;- J/);>/'Y' <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />~uare Feet, <br /> <br />Height <br /> <br />RESIDERTI.AL: ATTACH (2) PLOT PLARS &: (2) SETS OF BUILDING PLARS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLARS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REQUESTED <br /> <br />~UILDING <br /> <br />$ ~. 0;).0. (/0 <br />, <br /> <br />Valuation of Total Construction <br /> <br />RI.RcrRICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____1IECllAlJICAL <br />---PLUKBDiG <br /> <br />$ <br /> <br />Valuation of Kecbanica1 Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE ~(l CORSTRUcnON: __1oc1t _Fraae _Steel <br /> <br />Other <br /> <br />FIJlISBED FLOOR ELEVAnORS: <br /> <br />Fl. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br /> <br />COKPABY j)/fv/j S"/Y/'l""f <br />i? 8 r State Cert. or Regist. , <br />I o;t OL^-:::J City License Registration , <br />...........****.*.*....*..*........*...*** <br /> <br />,,';vc . <br /> <br />RIITIDER <br /> <br />J-R-7 <br /> <br />SiDnAture <br /> <br />CORPANY' <br />, <br />State Cert. or Regist. , <br />City License Registration , <br />.........*................................ <br /> <br />RI.RcrRICIAII <br /> <br />COKPARY <br />State Cert. or Regist. , <br />City License Registration , <br />........*.**.*..****..*....*.*.*.......*.. <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COKPARY <br />State Cert. or Regist. , <br />City License Registration . <br />...*..*******.*.**...*.......***..*......* <br /> <br />IlECllARICAL <br /> <br />Signature <br /> <br />CORPARY <br />State Cert. or Regist. , <br />City License Registration , <br />.*.**.*..**.....******.*..***.*****...**** <br /> <br />OTARR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHlT OFFICER. <br />