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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME j ~ ') 0 ;J Cr(t-v..5Q; ~ ~; 0h Itt. J ~o I ~ <br />OWNER'S ADDRESS '~, (p Ol,p r e- (l ,,;. C ~ /l..vl e.. <br />JOB ADDRESS 5 <6 l\ \0 I ~ 1j. S '\ ' <br />LEGAL DESCRIPl'ION: LOT(S) fL.{~ IS <br /> <br />PHONE <br /> <br />~13-7'i3- ~i'fO <br /> <br />BLOCK L/ ~ SUBDIVISION C.;f7 o~ 2}/J:/ls r/~ 6K J f(.. ~~ <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:____New Construction ____Addition v' Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />-.JIove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ~Siogle Faaily <br /> <br />-.JI/F <br /> <br />____, of Units ____M/H <br /> <br />____~ercial <br /> <br />____Indust. <br /> <br />____Swim, Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />t-1il.,-TIl,'od fwvtJO .~. (~OO~7 <br />Square Feet, Height <br /> <br />" <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 />~ELECTRlCAL <br /> <br />$ <br /> <br />AttP Service <br /> <br />Valuation of Total Construction <br />V Florida Power Corp, <br /> <br />W.R.E,C, <br /> <br />-.MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Fraae ____Steel <br /> <br />Other <br /> <br />FlNlSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />BUTI.DER <br /> <br />Signature <br /> <br />F.l,F.CTRICIAN <br />SianAture ~'t IF <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />............*.....*.*...*.......******.... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />..*......*.............*....*............. <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />