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<br />APPLICATION FOR pERHIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTKENT <br /> <br />JOB ADDRESS <br /> <br />Lt\~t~~ '~~<Q..QfL <br />:5 2~ \~~I'\.~ <br />~ <br /> <br />PHONE <br /> <br />1'6~- \3bl <br /> <br />OWNER' S NAKE <br /> <br /><S~. <br /> <br />-z. \-\. <br />\ <br /> <br />~ <br /> <br />OWNER' S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1.0.' (OBTAIR PjUlK PIl\,lPEBTY TAX ROTICE) <br />llOIlK PROPOSIID,_Rew CoII&troctiOll ~ition ~teration ~ir _InataIl <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />_Sign <br /> <br />--,,-ove <br /> <br />_Deaolish <br /> <br />PROpOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_eo.aercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departllent Approval <br /> <br />~-~~ <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 FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />}'ERKITS RROUESTED <br />$ ~ \, ~, ~ Valuation of Total Construction <br /> <br />_ELEC1'RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1fECBAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />~mmING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />F1' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. · <br />City License Registration · <br />****************************************** <br /> <br /> <br />,UILDER <br /> <br />:;=: <br /> <br />/ <br /> <br /> <br />~ COKPARY <br />State Cert. or Regist. · <br />City License Registration t <br />< ****************************************** <br /> <br />/' <br /> <br />OTHER ~ COMPANY ~.J..\~O~ C~S'f.....,~"'~r\ <br />, . State Cert. or Regist. f ~~Sb'~:;~ <br />Signature ~ City License Registration · ~~~ <br />~*********************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />/ <br />/ <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration <br />****************************************** <br /> <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. · <br />City License Registration <br />***************************************** <br /> <br />j>>LllMBER <br /> <br />tJRC8ANICAL <br /> <br />Signature <br />