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<br />APPLICAfiON FOR PDKIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPARTKERT <br /> <br />_. s 1IAIDIb1BB-P:' s to ') IJi lL I tw (J, f'!l'C HB F l f-(. P. f"1f' R PBOllUl3 - "7 sf 2 - S- " In 1 <br />, <br />OWER'S ADDRESS ~~lo4 ~ Pi E.""DfhoJ\JT' J').lfF"I-;z..EI+ly()~L1 S l +i. ~3.$""40 <br /> <br />JOB ADDRESS c:: A Il1 'l . ....... <br /> <br />;5~'-;[j)r{ -Jj!J-~fJ./ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />t;/ <br />r <br /> <br />BLOCIt.....-SUBDIVISION <br /> <br /> <br />PARCEL I. D. t. (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew CoDstruction ----1dldition ~teration ~pair ~Ata1l <br /> <br />_Sign <br /> <br />----Ilove <br /> <br />->>eaolish <br /> <br />_~rcia1 <br /> <br />----Yt/F _, of Units ----Yt/H <br />_Indust. _Swia. Pool ~ther <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />.-Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: I V I X I (61 ~1\~ A(" ~ ~Ll'd.. bi1\fCn <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDERTIAL: <br />COMMERCIAL : <br /> <br />A'l'TACB (2) PLOT PLARS &: (2) SETS OF BUILDING PLANS &: (1) SET ERERGY FORMS. <br />A'l'TACII (3) SETS OF BUILDING PLANS &: (1) SET ERERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />)( BUILDING <br /> <br />40 <br />$...cJ. 4-3. ~ <br /> <br />PERMITS REOUESTED <br /> <br />valuation of Total Construction <br /> <br />RT.RCTBICAL <br /> <br />AHP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECllAllICAL <br /> <br />$ <br /> <br />Valuation of Hechanica1 Installation <br /> <br />_PLUllBING <br /> <br />GAS <br /> <br />ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE 9F mBsTRucnoN: _Block _FraIIe _Steel <br /> <br />Other <br /> <br />FDIISBED FI.OOR ELEVATIOBS: <br /> <br />Fl. <br /> <br />IS PROJEC'l IB FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />~ COHTRACTOR SEC'lI:~OB ) <br />BITTTDER ' COHPAIIY &..};1J ~ <br />_ ,,,- \ . ~ Sta~e Cert. ~ Re8is~.' <br />Signature --:A...Q "\() ^ City License Registration , <br />.......................................... <br /> <br />RT.RCTRICIAII COKPAIIY <br />State Cert. or Regist. , <br />SionAture City License Registration , <br />.......................................... <br /> <br />PLUIIBER COMPANY <br />State Cert. or Regist. t. <br />Signature City License Registration , <br />.......................................... <br /> <br />HEClWiICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />.......................................... <br /> <br />nTR"RR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATIOB APPROVED BY PERMIT OFFICER. <br />