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<br />APPLICAnON FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />. . <br /> <br /> <br />[Xp/'1I- rr'C;p <br /> <br />OWNER'S RAKE ~~/C/+ t!A/~RNZ PHONE <br />OWNER'S ADDRESS 38'0/9 it'9w~rV1.r- Loop <br /> <br />3 IS' cJ /9 I a rv/l/V~ /-ocJ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) c3 ~ BI.OClL--SUBDIVISION tJ,/-f)/w~Jj k.J1/v"1 <br />. <br /> <br />PARCEL I.D.' /tj- g;(P~..:lI- 8/00 -00000 '- 638'6 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: . ~ Construction -Jddition --Jlteration --.Jlepair _Install <br /> <br />JOB ADDRESS <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---.JI/F _' of Units t-!iii' <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: 7...?? 0 C" L e fO;r7;7 e <br />. <br /> <br />BUILDING SIZE:q/Y- X y;'~ Square Feet. /a <br /> <br />---.Jtestaurant & Health Departaent Approval <br /> <br /><)7 c/ <br /> <br />I' <br />Height <br /> <br />(~~ t?,ULicr <br />;;rfk-,- <br /> <br />RESIDENTIAL: ATl'ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ ~jmc) ~ <br />/ s: 0 MIP Service <br />$ 9c'o aC- <br />,A/(J GAS <br /> <br />, <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IEClWlICAL <br /> <br />Valuation of lIecbanical Installation <br /> <br />---....PLUMBING <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />K <br />NO <br /> <br />YES <br /> <br />****************************************** <br /> <br />Signature <br /> <br />COIlTllAC'JOR ~E~lIII f <br /> <br />COIIPABY 'CJJ~~;V 7/706~Le ~~g <br />State Cert. or Regist. , <br />City License Registration , / U? .5 () <br />****************************************** <br /> <br />COMPANY 7?;?~~ $~ <br />State Cert. or Regist. ; f /20~-Sd? cY- S. <br />City License Registration' /b..5../ <br />****************************************** <br /> <br />COIIPANY G~/)t'..u/,)V P/t.1&LC' ~~ <br />State Cert. or Regist. # / <br />City License Registration' / b~ <br />****************************************** <br /> <br />Birr' .DER <br /> <br />F.T.RCTRICIAN <br /> <br />SianJlture <br /> <br />PLDllBER <br /> <br />Signature <br /> <br /> <br />CotIPANY ~&~ A.J:k ~~ST <br />~ State Cert. or Regist.' C/7GO~a/ <br />..... City License Registration * /6 <br />*********************************** <br /> <br />OTRRR COIIPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />