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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME G. c a " -e r c..- I C7\. Y <br />OWNER'S ADDRESS 4 ~ :3 S- - J '1~ .CS+- <br />JOB ADDRESSJ ~ ~ ~ -- (9~ Sf <br /> <br />PHONE <)( ('3 I~ ~ \ $~S- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />QARCE~__-..) (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction .)(..Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: LSingle Family <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />____Swim. Pool ___Other <br /> <br />OESCRIYITOR OF wo;:sta~Oi~t~~~ wb~~,~Y~ <br /> <br />BUILDING SIZE: l:1f:t.x ~ tiS re Feet. ' Height. . . / <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PlANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PlANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_MECHAIilCAL <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 _Fr8lle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUlWER GORTRA=~:12~In77~ <br /> <br />/P ~ '~ State Cert. or egist. t <br />Signature Vj~ City License Registration" <br />... ......................~.............. ~ <br /> <br />F.T.F..CTRICIAN . COMPANY (~~~..LY110 U <br /> <br />Si~~~:e ~ ~ ~~~e L~~~ O~:~:~:~~i:n . <br /> <br />** *************************************** <br /> <br /> <br />~ COMPAN~~J'"'P??#~~3-?1. (h .-J' <br />State Cert. or Regist. , <br />City License Registration , <br />****** ********************************** <br /> <br />PLUMBER / <br />Signature ~ <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />*************~**************************** <br /> <br />OTRF..R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />