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<br />APPLICAnON FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />(J~1,1~ <br />, 1/ () <br /> <br />OWIIER'S ADDRESS <br /> <br />-- <br />t.V /NcN c ~,/L PHONE <br />i r9t.AJ/f1l../ ~/t-- Loo J~ <br />L/qw/'tr-l6A- LCJop <br />LEGAL DESCRIPTION: LOT(S) 37 BLOCIL--SUBDIVISION ?<J~.vl9-re)) W/...,/j <br />PARCEL I.D.' ;C/- C2?-;2/- 01& 0 -- t:)()OCJCJ - C5 5'7 (J (OBTAIN FROfI PROPERTY TAX NOTICE) <br />WORK PROPOSED: .~ Construction ~ddition ~teration ~pair _Install <br /> <br />!~// i L) '1l7rl <br />:3g-0;7 <br />3Rol7 <br /> <br />OWNER'S RAKE <br /> <br />JOB ADDRESS <br /> <br />_Sign <br /> <br />---1fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1I/F _' of Units ~ <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />___estaurant & Health Departaent A~val . <br /> <br />DESCRIPTION OF WORK: 7Jlc;7&L--<'- ~ce. ~~~ / ~ <br /> <br />BUILDING SIZE: ~J' X P4--. Square Feet. lei ( Height <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORIIS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />() JJ /-1( cy- F P rvJ <br /> <br />-BUILDING <br /> <br />PERMITS REQUESTED <br />-- ~. <br />$ J6f cJ't/C)' Valuation of Total Construction <br />,/ <br />/SQ AKP Service <br />a...2... <br />$ 9ac <br /> <br />, <br /> <br />/vo <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELEC'l'RICAL <br /> <br />---1IEClWlICAL <br /> <br />Valuation of lIechanica1 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 />FIIIISBED FLOOR. ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJEC'I' IN FLOOD ZONE ABEA? <br /> <br />X <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />cotIPARY &oL),u.l//v md;~lC" ~~ <br />State Cert. or Regist. t <br />City License Registration' /6,~ <br />****************************************** <br />$ <br /> <br />BUTT .DER <br /> <br />Signature <br /> <br />, <br />------...-- <br /> <br /> <br />COMPANY /?; <br />State Cert. or Regist.' /e'aoo--S.~ <br />City License Registration t <br />****************************************** <br /> <br />COMPANY ~O~t-<./nv /?:&&~~ ~es <br /> <br />State Cert. or Regist. . ' <br />City License Registration' / /9 -S7J <br />************************** *************** ' <br /> <br />COMPANY e'~ ItJ{~ #V/2~ <br /> <br />State Cert. or Regist. . ~/'9C~~O::;O/ <br />City License Registration . / b _8' <br />******************************** <br /> <br /> <br /> <br />F.T.RCTRICIAN <br /> <br />SianAture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br /> <br />tlECllANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****************************************** <br /> <br />OTRRR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />