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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPIIYRBILLS <br />BUILDING DEPARTMENT <br /> <br />" ~11.." <br />I ).-- I )- <br />r - f717 <br /><pKy LJ~'. <br />99/- 7366 <br /> <br />OWNER'S IWIE ,~y U~?k /1r//O..f/l 5' <br /> <br />OWRBR'SADJUSS /~~V~ /.[. ~~V~ <br />JOBAIlDIlBSS ~~-~ ~y~~-~ rd~ <br />LEGAL DESCRIP'fiON: LOT(S) _ ~ ~ BLOCK.zz: SUBDIVISION S'/~ 8~r-)' <br />PARCEL I.D.# 'j>-C) 6 -;) / --01.66 -'OOOGQ-o g3e (OBTAIN FROM PROPERTY T~ NOTICE) <br />WORK PROPOSED:~ew Construction .---Addition ----oAlteration ~pair _IData11 <br /> <br />PHONE <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />--Peaolish <br /> <br />PROPOSED USE: X Siogle Faaily <br /> <br />--1J/F _, of Units --1J/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other~ <br /> <br />Restaurant & Health Departaent Approval <br /> <br />~/Yl;Ly Rer <br />/ <br />Square Feet, <br /> <br />5/ ."J71-<? <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS 6: (2) SETS OF BUILDING PLANS 6: (1) SET ENERGY FOlUtS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS 6: (1) SET ENERGY FOBHS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />RI.RC'l'BICAL <br /> <br />$ 10. 000 <br /> <br />, <br /> <br />/50 AIIP Service <br /> <br />Valuation of Total Construction <br /> <br />" ' <br /> <br />-.-BUILDING <br /> <br />A <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----llEC8ANI.CAL <br /> <br />$. ;3 /LXJ <br /> <br />Valuation of lIechanica1 'Installation <br /> <br />---..PLUMBING GAS <br />TYPE OF coBsmucnoN: .K.nock <br /> <br />sJ.IJ,.Jc~nNG <br />0/ <br /> <br />SPECIALTY <br /> <br />_Fraae _Steel. <br /> <br />Other <br /> <br />PDII.SIIED FLOOR BLBVAnOBS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZOBE AREA! <br /> <br />YES . NO <br /> <br />.**....*..*****.***.****.********..****.** <br /> <br />CONTRACTOR SECTION' <br /> <br />RIJTl.DER <br /> <br /> <br />COMPANY <)+:"5 ~Lec::TR/c:. (;::'0 <br />-ft.~. State Cert. or ReSist. t ~ eo=:> ;;16'/>' <br />City License Registration " ~D <br />**.*********.******.*****..***..*****.*. , .' . <br /> <br />~ <br />/i:J I <br />COMPANY ~..., . " <br />State Cert. or Regist. . <br />'k./ .// ../ ~~- City License Registration' / ~ <br />***..****.*****.**.*.*.......*...........* <br /> <br />Signature <br /> <br />RI.RCTRICIAII <br />SiDnAture J;a~ a <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />1fEmAJIt~ LL- COHPAIfY A ~ f!... c A;~ ~. ~ c:.- <br />, " State Cert. or Regist.' "tJ(""("j '7?:::2.~ '? . <br />s......ture C74 ..City Liceose Registration t ~:;; '7 X' .. <br />.*...*....*...*....*.......*...*..**....** <br /> <br />OTRRR <br /> <br />COMPANY <br />State cert. or Regist. # <br />City License Registration . <br />..**.*..*..*.*****.**..*....*...*.*******. <br /> <br />Signature <br /> <br />APPLICAnON APPROVED BY <br /> <br />PEBHIT OFFICER. <br />