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<br />~ <br /> <br />APPLICAnON FOR PERKIT 7 ~:2 - '1 LJ1'? <br />CITY OF ZEPBYRBILLS 0 , <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAME ::Je r ( W <br />OWNER' S ADDRESS 5104- '1 <br />~ 4-'1 <br /> <br />l; () \) t' \ le PHONE . ~~a - oFf S'I <br />\ ~~ IDJLQ-:t <br />\ lJ'-W1 ~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) J ,'I ') b NOr '7 B~SUBDIVISION ('OY OF- /,,-~jt.( C'i <br />, 1 , J <br />PARCEL I.D.# 11- Ab ~J, J- OV/O -/O'lO() ,- CJ()3tJ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:__ew Construction ,..4ddition ----Alteration ~pair _Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />_DeIIOlish <br /> <br />PROPOSED mE: ~s~eF_i~ <br />_~rcial <br /> <br />-.Jt/F _, of Units -.Jt/H <br />_Indust. _Swia. Pool XI Other <br /> <br />---Restaurant Ii: Health Departaent Approval n <br /> <br />DESCllIPTIOR OF 1iOIIIt: o..cld Of) \'t4-~ IItOQIYI\.. <br /> <br />BUILDING SIZE: \ ct X \ ~ 't., l ~ Square Feet. Height <br /> <br />RESIDEBTUL: ATTACH (2) PLOT PLAliS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: AnACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />_ELECTRICAL <br />---1IEawJICAL <br /> <br />$ <br /> <br />I C}G~ O~ <br /> <br />PERMITS REQUESTED <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIllSTRucnON: _Block _FruIe _Steel <br /> <br />Other <br /> <br />FIlIIISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />Bun.nER <br /> <br /> <br />YES NO <br /> <br />.................................... <br /> <br />Signature <br /> <br />CONTRActOR SECTION <br />COKPANY-J D l d ' <br />State Cert. or Regist. # <br />City License Registration , <br />.......................................... <br /> <br />Co () btr tAc.:tz ~ <br />... <br />~8. <br /> <br />lU.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SignAture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICAnON APPROVED BY <br /> <br />PERMIT OFFICER. <br />