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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE -n1~ $. CILQ~^O^ <br />OWNER'S ADDRESS 5 (P D I / 7 fA S"t1 0.1' t <br />JOB ADDRESS Z.f{fJA:t~.1t I.j-I (J~) <br /> <br />PHONE <br /> <br />7g,:).- 0/37 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />/1- J. (, -~/- 0010 - (/ '/00 - 005D <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair Install <br /> _Sign _Hove _Deaolish tft-~i /1~/3 CJ~ <br /> 5~ . <br />PROPOSED USE: _Single FOlily _H/F _' of Units _H/H <br /> . <br /> _C~ercial _Indust. _Swta. Pool ___Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF IiOR1(:~--1L>1 //-76J-A~ / So; ---/zrzeL d~ <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />tj.. 00 <br />,cJ-9 tJ. <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'RICAL <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 GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrOle _Steel <br /> <br />Other <br /> <br />FDITSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BITTl.DER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />OOIfPANY ~ c $~CZo~k<. <br />State Cert. or Regist. t:{) -.5b <br />City License Registration . ~)P0l <br />*************************************** <br /> <br />Signature <br /> <br />Rl.RC'l'RlCIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration t <br />****************************************** <br /> <br />SiQOAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />****************************************** <br /> <br />Signature <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 'Reg 1st . t <br />City License Registration' <br />*********************************..******* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />