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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />.:1'1 . <br />J "?- --3 <br /> <br />OWNER'S <br /> <br /> <br />JOB ADDRESS <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION -1fU..O-"'\>l~) S.. Q.... ~ <br />~ .,_0000 <br />PARCEL I.D.' ~ ~ - 2.,5- :JJ- (JCJ)()-()5"PIf'L)-(OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ----..Addition ~ration _____epair _Install <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F8IIily _M/F _' of Units _M/H <br />~rCial _Indust. _Swia. Pool _Other <br /> <br />_suurant & Health,DepaJ~j trova1 ~ c;r,~ f~(( <br />DESCRIPTION OP WORK: ~ ~4-" t '~ -t- ~ !JJ4JL ~.-J <br /> <br />BUILDING SIZE: (7 X (/0. / d-CCY~.. Square Feet, Height <br /> <br />RESIDERT1AL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS lie (2) SETS OF BUILDING PLANS lie (1) SET ENERGY FO <br />ATTACH (3) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />----1IECllARIGAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br /> <br />PERMITS REOUESTED <br /> <br />BUILDING <br />~CTRICAL <br /> <br />$ <br /> <br />. a a.> <br />,//')0 ~..-- Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />l.L.C <br />1-:- <br /><:( <br />r-- <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />F1lII.SBED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />COKPARY <br />State Cert. or Re <br />City License Regis ation' <br />****************************************** <br /> <br />~ <br /> <br /> <br />BIITl.DER <br /> <br />OMPANY r ~ <br />tate Cert. or Regist. , <br />ity License Registration , <br />************************** <br /> <br />1;1./ (/J <br />.. <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />MECllAHICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />nTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Regist~tion , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICAITON APPROVED BY <br /> <br />PERMIT OFFICER. <br />