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<br />APPLICAnON FOR PERMIT <br />CITY OF ZEPIIYRBILLS <br />BUILDIHG DBPARTHENT <br /> <br />r-,fA -S-:Y () <br />?~ oZ5~ dV <br /> <br />'lfrtf:., 11/ 1-10/11$ ~ PHONE <br />~fA/ r: S'Lf <br />clE/JII rk. R./ot;e PI<.. <br /> <br />7f'o1-:;~ 76- <br /> <br />. <br /> <br />BlDCK <br />~-~so <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />)n ---..Addition -..Alteration ~epair _Install <br /> <br />----Kove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: v"'Single Faaily <br /> <br />----Jf./F _' of Units ----1l/H <br /> <br />_ec-ercial <br /> <br />_lDdust. _Swia. Pool _Other <br /> <br />~estaurant 6: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ..SHED. Cri;;?/J{);e.::;- <br />t.l ~~ Ie R.b{~p a. , ~ <br />BUILDING SIZE: /dYfx/J. . S-'1~~~Square Feet, 4"ro 9' Height <br /> <br />RESIDEBTIAL: ATTACH (2) PLOT PLANS 6: (2) SETS OF BUILDIHG PLANS 6: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS 6: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />V" BUILDIHG <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />/ A'~LJ,oo Valuation of Total Construction <br /> <br />_ELECTlUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----.tIEClWlICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />~mtBING GAS ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF alNSTRUC'l'ION: ~1ock _Fraae _Steel <br /> <br />Other <br /> <br />FDIlSHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BIITTJlER <br /> <br />d!ld--~ .. <br /> <br />/J?i: /JLU PJ t <br /> <br />State Cert. or Regist. . C$!:_co ..f~," ~O <br />City License Registration . / b 0 <br />.......................................... <br /> <br />COtIPANY <br /> <br />Signature <br /> <br />ELECTRICIAB <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SiQDAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COHPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTHF.R <br /> <br />COMPANY <br />State Cert. or Regist. '. <br />City License Registration , _ <br />...................................*...... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />