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<br />APPLlCAnON FOR PEIUIlT <br />CITY OF ZEPBYRBILLS <br />BUILDIRG DEPARTMENT <br /> <br />OWNER'S ~ _2]d/~-/ fJ/fNM.) PHONE <br />OWNER'S ADDUSS 87?"'1t'J ffPl/tAtJ 47$- {!!u,:I <br />JOB ADDRESS ':'?7Q:.:;O -11flt4(./J# &Is e"tI../f../ ! <br />LEGAL DESCRIPllON: LOT(S) / BLOCX.--SUBDIVISION!t2l{j,~//~'hl.;ii>- (}(W.i:t., <br />PARCEL 1.D.' ~<if'd)-~I -(J()~O-;)O()rJ() -()OID (OBTAIN FROM. PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ~ddition ----Alteration ..--.-:aepair ~Install <br /> <br />_Sign <br /> <br />--'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S~e F_ily <br />V" ec-ercial <br /> <br />~/F _' of Units ~/H <br /> <br />_1ndust. _Swia. Pool _Other <br /> <br />. .L:;aestaurant &: Health Departaent Approval <br /> <br />DESCRIPTIO. OF WORK:~J/Wv5iJ/r'/~11 (1f#/1/J(.I'-L~/);'L1 <)"rrA-'.d~' ~<j/):i:-t4< <br /> <br />BUILDIRG SIZE: 1-/2.X 7~ .~..:.7...2_) ~uare Feet. 15 Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET EIIERGY FORMS. <br />COMMERCIAL: ATTACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDIRG <br /> <br />$ /, /7nJ. p-v <br /> <br />Valuation of Total Construction <br /> <br />RT.R.CTlU.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />.-JIEClWlICAL <br /> <br />$ <br /> <br />Valuation of tlechanical Installation <br /> <br />--PLutlBING GAS ROOFING <br />TYPE OF CONSTRUCTION: .+-Bloclt _F~ _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />PIlUSBED FLOOR. ELEVAnONS: <br /> <br />PT. <br /> <br />I.S PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />R(ITT.DER <br /> <br />CONTRACTOR SECTION <br /> <br />OOIfPMY, 'YiMllit? "j~ <br />State Cert. 0 egist. ..., I rJCf~rL, <br />City License Registration . <br />..........*............................... <br /> <br /> <br />SianAture <br /> <br />COtIPANY <br />State Cert. or Regist. . <br />City License Registration . <br />........................................*. <br /> <br />RT .R.CTRICIAN <br /> <br />COtIPANY <br />State Cert. or Regist. . <br />City License Registration . <br />..................................*.*..... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />IlECBANICAL <br /> <br />COKPARY <br />State Cert. or Regist. , <br />City License Registration . <br />...................................*..*.*. <br /> <br />Signature <br /> <br />OTRR.R COtIPANY~ /fBdL--f ~A1 cj?~~ ._ <br />'~ d State Cert. or Regist. I () 7t'i '1 ';) /(J/}o&Y '7 <br />Signature 'l J /..{'UA.NY0 City License Registration I 6'":? I <br />~. / ~ .......................................... <br /> <br />APPLlCAnON APPROVED BY <br /> <br />PERKIT OFFICER. <br />