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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME C. <br /> <br />f)oe;vL.;" G- <br /> <br />PHONE 7 I'~ - .J? 7 2. <br /> <br />OWNER'S ADDRESS '39 76P. /J'I~()ocvt>Oj) <br /> <br />LocJp <br /> <br />JOB ADDRESS <br /> <br />.r~ <br /> <br />LEGAL DESCRIPTION: LOT(S) 6" BLOCK Lf SUBDIVISION /J/1fTA:t)~oe~ Or,r~ <br />PARCEL I. D. t / 7 ~ ;. (- 2.. / oooz> 0 OOCC> oa6o (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:.L...New Construction _Addition --Alteration _Repair _Install <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: _Single F~ily _H/F _, of Units _M/H <br /> _ec:-ercial _Indust. _Swbl. Pool __~_L ~~~ <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: /f).u.u ~o-X- e.,t:'~04C- <br /> <br />BUILDING SIZE: ~u X )2-, r;ltO' <br /> <br />Square Feet,fa <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />ABUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction. <br /> <br />_ELEC"l"RI.CAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr~e _Steel <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ~/ry ~/RhP';' <br />State Cert. or Regist. t ~~OeJj~.u~'/ <br />City License Registration t /C~ <br />****************************************** <br /> <br />F.T.F.CTRICIAN COMPANY <br />State Cert. or Regist. t <br />SianAture City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />