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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAIII\ t'lGUA <br />OWNER t S ADDRESS S'"? 0 L <br />JOB ADDRESS Si?J-11l F <br /> <br />WjNJVf <br />.11 i14 5" r <br /> <br />PHONE 7r2- 2'162 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL LD.' I" Z' ,.. Z /-Obl lJ <br /> <br />BLOCK SUBDIVISION <br />I r 2 otJ ~ 0 l't () (OBTAIN FROK PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />-"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: 'Z-Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: ~V<: UPCI/Jt<< I001/V TCf 200 ~Atr <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Va1uation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />ELECTRlCIAR <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />COMPANY 1?oC[Mf etrc:. <br />State Cert. or Regist. t ~I'{ (}o Oil?? 1 <br />City License Registration t 2.{". 1 <br />****************************************** <br /> <br />RITTI.DER <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration , <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />