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<br />_."'--,.,,..,.......:~~~,~....,..".._.. <br /> <br />.,...,.....".'l::..1"~.:.,~,:~..,..'''''~.....,W''.'~.~~':\Oi'~..'.r~-......;.r:t...., <br /> <br />APPLICAnON FOR PERIIIT <br />CITY OF ZEPBYRBlLLS <br />BUILDING DEPARTHBIIT <br /> <br />OWRER'S IlAHE <br /> <br />PHONE <br /> <br />OWNER'S ADDDSS <br /> <br />JOB ADDRESS <br /> <br />'- <br /> <br />LEGAL DESCRIP'lIOII: lDT(S) <br />PARCEL LD.' <br /> <br />B~SUBDIVlSION <br /> <br />(OBTAUI FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ----..Addition ---J\,1teration ---.Jtepair _Install <br /> <br />_Sign <br /> <br />--.-JIove <br /> <br />_DeIIolish <br /> <br />PROPOSED WE: _S~e F_ily <br /> <br />--.Jt/F _' of Units --.Jt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />Restaurant & Health Departaent Approval <br /> <br />DESCRIPTIOII OF WOIUt: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />. <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RlmIDEI1TIAL: <br />COHMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ERERGY FORMS. <br />ATtAaI (3) SETS OF BUILDING PLANS & (1) SET ERERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />PERMITS REOUE.c;TED <br /> <br />---.JjUILDING <br /> <br />$ <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 />___CBAIIICAL <br /> <br />$ <br /> <br />Valuation of llechanica1 Installation <br /> <br />-PLUMBING <br /> <br />GAS <br /> <br />ROOfiNG <br /> <br />SPECIALTY <br /> <br />TYPE QF COIISTRUcnOIl: -Bloclt _F~ _Steel <br /> <br />Other <br /> <br />PIIIISBED P1OOR. ELEVAnollS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZOO AREA? <br /> <br />...................................*...... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BIITI.DD <br /> <br />aJHPANY <br />State Cert. or Regist. , <br />City License Registration . <br />..................................*....... <br /> <br />Signature <br /> <br />RI.RCTRTCIAR COKPARY <br /><; ~ State Cert. or IIegiat. f <br />SiMUature 't...'. ... City License Registration . <br />~.....*.............................. <br /> <br />J/J..:t <br /> <br />PLDMBRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.....................*................**.. <br /> <br />Signature <br /> <br />IIBCIIAnCA~ COIIPAIIY <br />. ~ State Cert. or Regist. . <br />Signature /t.. '/ h. .f?.../~ City License Registration . <br />~ .~.................................... <br /> <br />~ . / l/V <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERHIT OFFICER. <br />