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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPllYRBILIS <br />BUILDING DEPARTKENT <br /> <br />,~/~ . .J ' <br />V/ly,)J~, ..~~~ <br />/\rr 0 <br />780-9622 <br /> <br />OWNER'S ADDItESS <br /> <br />y II C A <br />37129 Geiger aoad, Zepbyrbills <br />37129 Geiger aoad, Zepbyrbills <br /> <br />PHONE <br /> <br />OWNER'S NAHK <br /> <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT(S) BLOCIt..--SUBDIVISION Zepbyrbills <br />PARCEL LD.' SECT. 3, TS 26S, aange 21 E_ (OBTAIN PaOlI PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~ddition --fl.lteration ~epair _Install <br /> <br />XXsign <br /> <br />--1fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F_ily <br /> <br />--1t/F _' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaur8Dt Ii: Health Departaent Approval <br />install channel letter vall sign <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />~UILDING <br />_ELECTRICAL <br />~awnCAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />A!IP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />valuation of tlecbanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />xx <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAfiOIlS: <br /> <br />Fr. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />........**********.*********************** <br /> <br />CORTRACTOR SECTION <br /> <br /> <br />O>>WARY J&J SIGIIS <br />State Cert. or Regist. 'cn~~71 <br />City License Registration' ~, <br />****************************************** <br /> <br />v <br /> <br />PC ,U t1/1 11/1 R &' ~~~ert. or Regist. " <br />City License Registration . <br />****************************************** <br /> <br /> <br />COMPARY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert~ or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />IlECBARIGAL <br /> <br />Signature <br /> <br />COMPANY . <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />nTIIRR <br /> <br />Signature <br /> <br />,'> I <br />APPLICAfiON 'APPROVED "y <br /> <br />PEBKIT OFFICER. <br />