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<br />. . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />9&,3 <br />D/3 <br />)1 <br /> <br />bRG\l\Jbo},J R.. <br /> <br />_Co_ercial <br />_Restaurant & Health Department Approval <br />BUILDING SIZE: J( %" xs. to, 1 -4 q 0 Square Feet, <br /> <br />PROPOSED USE: <br /> <br />Single Family <br /> <br />_Addition Alteration _Repair Install <br /> - <br /> Move Demolish <br />_M/F _' of Units ~/H <br /> Indust. _Swim. Pool Other <br />- <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET EIfERGY FORMS. ** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />$ ( 2> 00. Q(.L Valuation of Total Construction <br /> <br />\~() AMP Service Florida Power Corp. <br /> <br />~UILDING <br /> <br />~CAL <br />MECHANICAL <br />V;:UMBING <br /> <br />$ <br /> <br />GAS <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />COlfTRACTOR SECTION <br /> <br />COMPANY PA~co IJo.-m~ GrSt~ (L <br />State Cert. or Regist. I D 1+ J I 0 .1--S. <br />City License Registration I ~;LZ) <br />****************************************** <br /> <br />COMPANY (,.eo"'ik.% sJ..epile r0J <br />State Cert. or ist.' <i..R...OOQ ~.s;-4"'Y" <br />Ci ty License Registration , I ~ '3 <br />* ************************************** <br /> <br />. /7. ~ ~ <br />COMPANY ~5 co- ,.. e~ ~~ C <br />State Cert. or R"egist. I _ - ,/:;z!-- ,//,tCJ ~ <br />.City License Registration . <br />******************************* <br /> <br />COMPANY eo ' ~d <br />State Cert. or R st.' <br />City License Registration , <br />********************************** <br /> <br /> <br />BUILDER <br /> <br />Signature <br /> <br />e:LECTRICI <br /> <br />mlER <br /> <br />/ <br /> <br />/ <br /> <br />/ <br /> <br /> <br />-~ <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration, <br />****************************************** <br /> <br />lignature <br /> <br />~PPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />