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<br />(:'J :! 0, '~"1' / q 1. <br />71~~d r-- <br />'- !. '. ) /}:'/LG <br />/'\ (;).f....\.lA' <br />( \ JI.. 11f-t/ <br />, lJc;>/' <br /> <br />0IlIIER' S NAIlB, &$ j L4 111, ~ " sLQ ~t IroA /l /.1 k ..,,) ':;:"N: -,9 / .31[;8- 57 tP '! <br />OWRER'S ADDRESS 3d 46 ( C,~, I \ -r4 & <., j ? _ IrI(/~ <br />Sq /YI -e <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D. f 6 Cl - c?- C. --., 2./ - tJtJ (C - c (P6 (j 0 - 60 '3 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :~ew Construction _Addition ---..Alteration ~epair _Install <br /> _Sign -.JIove _Deaolish <br />PROPOSED USE: _Single Faaily -.JI/F _' of Units _M/H <br /> ....~ercial _Indust. _Swia. Pool ~ <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF NORK: <br /> <br />,-3 j-O \ X (;;, ( <br /> <br />- <br />)- ~ '1..(7 -e . <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br /> <br />RESIDElITIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FO <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />l.BUlLDING <br /> <br />cr< <br />$ d-{){)-- <br /> <br />Valuation of Total Construction <br /> <br />_ELEG1'RICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />N.R.E.C. <br /> <br />_HEGBAlfiCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />--PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDiISHED FLOOR ELEVAITONS: <br /> <br />Fr. <br /> <br />IS PROJEct IN FLOOD ZONE AREA T <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />RlrrT.QER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />;r <br />;z: <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration' <br />****************************************** <br /> <br />;z~ <br />OTRRR / <br /> <br />/ture <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****************************************** <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />