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<br /> <br />, <br />-, <br />..... <br />~PL....~ATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />PHONE <br /> <br />70d - 531j- <br /> <br />OWNER'S ADDRESS <br /> <br />LQ/l-V'1J <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' <br /> <br /> <br />WORK PROPOSED:~New Construction ddition --Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: ~e Faaily _"'F _' of Units _"/H <br /> _~ercial _Indust. _Swi.. Pool _Other <br /> <br />____Restaurant & Health De~~boent~pproval <br />DESCRIPTION OF WORK:----=rnUpJ e ~ <br />BUILDING SIZE: ),~{.,.,M. flIer' Square Feet. _d Height <br /> <br />RESIDENTIAL: <br />CO!tHERCIAL : <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 />~LDING <br /> <br />$ <br /> <br />/ a5() ~ <br />{ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELEC'fRICAL <br /> <br />AMP Service <br /> <br />_MECHAIIlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY~ r ~. IJ.tvrnJ' n Vvn <br />State Cert. or Regist. .. {l ?r.r:~DrJ'7 <br />City License Registration , g <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />SiDflAture <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />OTRRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />\PPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />