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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE R i (, h (.. r d K 0 e p P <br />OWNER'S ADDRESS ~ C) ~ 3.0 Ch C\ Y"\ C -e y <br />JOB ADDRESS s'A ", -e AS. f1 C3 u v C <br />LEGAL DESCRIPTION: LOT(S) it q 0 BLOCK <br /> <br />~bq 01 <br /> <br />PHONE <br />-k-'lo <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -----.Alteration ~epair _Install <br /> <br />_Sign <br /> <br />----.JIove <br /> <br />_Demolish <br /> <br />PROPOSED USE: _S ingle FaJDily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_COII8ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Se:w -C- If"" <br /> <br />l \ (, e.-. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <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 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 />I a D AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />~PLUHB~NG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _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 />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />*****************************************. <br /> <br />Signature <br /> <br />:::CT:::~~ ~.~~ COMPANY tlov ~ r ~ <br />State Cert. or Regist. # E:SQOooo61 <br />City License Registration # tg1 <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />******************************.*. <br /> <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />