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<br />. . <br /> <br />APPLICATION FOR PRRKIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br /> <br /> <br />19'() -1;2 r;b <br /> <br />fL.- ~- S40 <br />53 C; () <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION S'iAV\ ~~;:; -W-~< :J... <br />PARCEL I.D.f~.~-:l~ -J.}- 03/0- OODDO-9fDcOBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />ev y- I <br /> <br />WORK PROPOSED:_New Construction _Addition ----Alteration ~epair _Install <br /> _Sign _Kove _Deaolish ~hr ~. X <br />PROPOSED USE: _Single Fallily _KIF _' of Units ---1f./H <br /> Lother S-k rllr- <br /> _ec:-ercial _Indust. _Swia. Pool <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK:~ t\5~ edl / C} '>( /0 <br />BUILDING SIZE: I 0 ~._i 9 0 <br /> <br />Square Feet. <br /> <br />~ I Height <br /> <br />RESIDEBTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMKERCIAL AITACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />-XBUILDING <br />_ELEC'fRICAL <br /> <br />$ <br /> <br />PRRKITS REOUESTED <br />\-~;") 0 <br />:::t [I L . 0 Valuation of Total Construction <br />I <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1tEGHARICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PL~ING <br />TYPE OF CONSTRUCTION: <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />rule, Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br />t,Uh ~t& (D ~ <br /> <br />_Block -XFraae _Steel <br />tJA FT. <br /> <br />IS PROJEC1' IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />X <br />NO <br /> <br />****************************************** <br /> <br />BUILDER <br />Signature V <br /> <br />CO~ClOR ~ . J <br />GOKP th-n<e-1.:k..J7? p-, <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br />lQ.RC'fRIGIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SignAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert" or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICAnOB APPROVED B~ ~ <br /> <br />PERKIT OFFICER. <br />