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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />JV c:) ,r 6 ~('" I- <br />OWNER'S ADDRESS L/ (J 0 I ~ L-- V .rl /l <br />I <br />JOJi ADDRESS ~-7 30 /;;2./h ? f <br /> <br />"5 G j, /Aj/ 'f' z- <br />/; ;001- dr <br />? S/-' fi lJ r /1)-/ ~ <br />( <br />SUBDIVISION <br /> <br />PHONE ? <j( <? - / 7 :::2 '2- <br />z/rJ,L//' hl!~ ;::;;/;r/~ <br />FJ !J <br />1/1 r) c." <br /> <br />OWNER'S NAME <br /> <br />LEGAL DESCRIPnON: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :_New Construction ----!tddition ---..Alteration ~epair _Install <br /> _Sign --..JIove _Deaolish <br />PROPOSED ~E: /s~e F_ily -"IF _' of Units --1t/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />-Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: j(~ J tA u' r7 /1 /C; f "J:O A err ;e G/f f e?L I <br />, <br /> <br />I <br /> <br />/; {}.m L-- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ '20 tJ r'J stil--- <br /> <br />Valuation of Total Construction <br /> <br />RT.ECrIUCAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"EClWlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTlON: _Block _Fr~ _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAnONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA 'I <br /> <br />....................................****** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT.DRR COMPANY /, (',hdtl ~ J- Ire-boll.[' /110 50/} Y'j <br />State Cert. or Regist. , Je.1!; tJ()d 13 <br />Signature ~ City License Registration' L/ c/ b <br />.**.*..*******..***********..****.******** <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />Sianature City License Registration . <br />.**.****.********************************* <br /> <br />PLIDIBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.*.......***.******.****.***************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />.****.**.*********************.*********** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.***..**.********************************* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />