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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />PHONE <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. , <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F8Jlily <br /> <br />_K/F _' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />YJV1C A <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECT'RlCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />'l'VDP np ronuCTDlIIWI'Tnu. <br /> <br />Dl~1. <br /> <br />P........- <br /> <br />c.._""",l <br /> <br />n...h.... <br /> <br />JI'Iand AUY.tON <br />(padm2lS ~o paluI~d 'pa~ a8eN) <br />(a~nleu6IS) <br /> <br />JI'I&nd AHYJ.ON <br />(pacfarelS ~o palUI~d 'pa~' aRN) <br />(a~nleu6IS) <br /> <br />oqleo ue a3(el <br />lOU PIP/PIP oqa pue uOIle~JJJluaPJ se <br />pa~npo~d <br />seq oqa ~o au Ol UAOU]( Ktteuos~ad Sl oqa <br /> <br />oqleo ue a3(el <br />lOU PIP/PIP oqa pue uOlle~JJJluaPJ se <br />pa:>npo~d <br />seq oqa ~o au Ol UAOU]( Ktteuos~ad sl OqA <br /> <br />KQ -fiT I <br /> <br />SYU]. au a~o:raa <br /> <br />Xn -~T I <br /> <br />QTn.... ::llm ::llTnT""IY <br />