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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />G)P!~~ 11-9~ <br />G rll4i~ <br />:)b 7--6~ (l <br /> <br />JOB ADDRESS <br /> <br />C_~/C!- is toll-I Ie <br />SJ~S- 9<<- s-f <br />Sri-m L. <br /> <br />PHONE <br /> <br />OWNER · S NAttE <br /> <br />OWNER' S ADDRESS <br /> <br />LEGAL DESCRIYl'ION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ~ Repair ____Install <br /> <br />____Sign <br /> <br />____Kove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____Single Faaily <br /> <br />____KIF ____' of Units ____KID <br /> <br />____~ercial <br /> <br />____Indust. ____Swia. Pool _Other <br /> <br />____Restaurant & Health Depar~ent Approval <br />DESCRIYl'ION OF WORK:I!I:'7tI (tJtJ;:: - M AJ~()uJS -~..6~ .- ,4-/c!_ <br />. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />/4,flt> <br />/tfZ5' AKP Service <br /> <br />Valuation of Total Construction <br />V Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />-----1IECBAIIlCAL <br /> <br />$ <br /> <br />~ f&?t? <br /> <br />Valuation of Mechanical Installation <br /> <br />_PL1JKBING GAS ROOFING <br />TYPE OF CONSTRUCTION: --=::Bi"ock ____Fraae ____Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA T <br /> <br />V <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER Kevin T. Roberts OOKPANY General Home Development Corp <br />r:a ' State Cert. or Regiat. . CGC005695 <br />Signature "'" (}-.~ ~ ! ~l-Il'J City License Registration' 21 <br />..................................****.**. <br /> <br />ELECTRICIAN <br />SignAture~^"-O-""I --:y. ~V\..s;>.~ <br /> <br />COMPANy\f'~J-~.. ~ <br />State Cert. or Regist. , <br />City License Registration , <br />...............................*.......... <br /> <br />\dU/-+P-1 L <br />E~C>c:..I'3 ~'\"'\ <br />~7J <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />~ - ...... .............................*~****. ,~ <br /> <br />KECBANICAL COMPANY 5" 0 /Vfi, L/ S" D ,Ie; ('e' c.J ~ 1/J /;l ), JA-e>c ~ /l <br />~m. ~ State Cert. or Regist. . <br />Signature . City License Registration' :?-- <br />, , .~~. ....*............................. . <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />JV/;" <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />Yf CVJ1A'~ <br /> <br />4~) <br /> <br />/1l~L, <br />i <br /> <br />PERMIT OFFICER. <br />