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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br />. ;) r' <br />Ol/NER'S - ~h1C6 Y O/!"? r$(YV mONE7d'"<r'-/?/G <br /> <br />OWNER'S ADDRESS 3976-C; tIe/lclocvocJcI hC/o <br /> <br />JOB ADDRESS ~ ?C;/s&/I/~dwooc/ ~O,p I <br /> <br />LEGAL DESCRIPTION: LOT(S) '"'fF7 BLOCK SUBDIVISION /JI/e/lclow OOc! <br /> <br />PARCEL I.D.' 13-.2C,~-o/o/O,- 60000 --0070 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />.' <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />_Repair ~Install <br />~t7r41'/ <br />FeNC~ <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool ___Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />~Qo."l> <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AttP 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 <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDfISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />SignAture City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANI~ COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />************~*.*************************** <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />