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<br />APPLICATION FOR PElUIIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S IWIE 5t, Jose-r~ <br />OWNER'S ADDUSS 3 0- K 0 ~ <br />JOB ADDRESS 55)Ro;), 5-~ <br />LEGAL DESCRIP'I'ION: LOT(S) <br /> <br />C'\LtJu L('0 CMUr('~ <br /> <br />J <br /> <br />r;;ti. ~JL-' ]2pill1rJit U\ <br />ili"L. JlPf~yfl fllll\ F/Ci. <br />BLOCK SUBDIVISION <br /> <br />PHONE <br /> <br />F( CC' 33~'-fO <br />33 "':- if {; <br />..,1 , <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:___Rew Construction ---..Addition ~teration ~pair _Install <br /> <br />_Sign <br /> <br />--lIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: v'" Single F_ily <br /> <br />~/F _' of Units ~/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />___.:Restaurant Ii: Hea1th Departaent Approval <br />DESCRIPTION OF WORK:L~c.,h:L[( llJ/nd6W wtwr~~ do6t~...- (", OV'~ U((6 0ef2.'S~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />USIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />V BUILDING <br /> <br />$ <br /> <br />3:.20 00 <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--..-JIECllAliICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />--YLtRlBIBG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE ~P: COIlSTRUCTION: ~loclt _Fr~ _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAnOIlS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AllEAf <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RIITl.DRR COHPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />RT.RCTRTCTAR COHPANY <br />State Cert. or Regist. . <br />Sia-nAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COKPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />KEClWiIGAL COHPANY <br />State Cert. or Regist. . <br />SigDature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLI.CATI.ON APPROVED BY PERHIT OFFICER. <br />