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<br />APPLICATION FOR PERMIT <br />CITY or ZEPBYRBILLS <br />BUILDING DEPARTMENT <br /> <br />DATE BECEIVED <br />PLANS REV:[EW FEE <br /> <br />OWNER'S NAME ;; r'c<. h cI <br />JOB ADDRESS ..5 77 c:J g- <br /> <br />;-1(") r; 20 h <br />/I) t: ul<"1J ;n <br /> <br />PHONE <br /> <br />75';:)- /8'-t, t- <br /> <br />J4 /j tp <br /> <br />),::;7 <br /> <br />/6 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br />WORK PROPSED: BNi""~'-~ONSTRUCTION <br />o SIGN <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />(OBTAIN FROM PROPERTY TAX NOTTCEI <br /> <br />o ADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI-FAMILY <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />~'~E HOME <br />o OTHER <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />DESCRIPTION OF WORK Me j,; 1-. Hr;./"I.- <br /> <br />BUILDING SIZE 2.<6")<'-/.) SQUARE FOOTAGE <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 />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$ <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br />BUILDER <br />SIGNATURE ~. ~Ll:zr:t>> <br /> <br />COMPANY ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />ELECTRICIAN <br /> <br />~~ <br />GJ~ . / <br /> <br />SIGNATURE <br /> <br />COMPANY 11 <:. ~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBER <br /> <br />SIGNATURE uJ~o/V <br /> <br />* * *** ** * ** *.* ** * ** ** ***** *** ** * * **** **** * * ***;}{** ~**** ***** ** ** **** * <br /> <br />COMPANY CL c.. --- <br /> <br />COMPANY IC:-l~ <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />MBCHANICAL <br /> <br />SIGNATURE wc..y--.tJ~ <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />***************************************************************** <br />