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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />(;~i 7-1& -7'[/ <br /> <br />OWNER t S ADDRESS <br /> <br />11lf/J f)/JAJI,eL- S <br />'-'?U L,LJ StJfA 7 H <br />,SHAE <br /> <br />/Ii/,€', <br /> <br />PHONE 7?3-f:2S""'~ <br />2EjOlI-)4eJIJ/-~/; .R,:f~fJ/P <br /> <br />OWNER'S NAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' ,//-~-~j-IJOIIJ -)./'1IJ.-t? IL/O (OBTAIN FROM PROPERTY TAX NOTICE) <br />'t--: <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair """:""-Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: ~ngle Fsaily <br /> <br />_M/F _' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />SA-rr: <br /> <br />f))~)/ <br /> <br />BUILDING SIZE: '--" <br /> <br />x <br /> <br />Square Feet, - 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 />~UILDING <br /> <br />$ <br /> <br />IFOlJ. DO <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: _Block _Fralle _Steel ~111!: ~.J'JI Other <br /> <br />FIRISBED FLOOR ELEVATIORS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUn.DER <br /> <br />(J W;V h /L- <br /> <br />COKPARY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />t/w/z/,E ~ <br /> <br />Signature <br /> <br />RT.RCTRICIAR <br /> <br />COMPARY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Siimature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COKPARY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />MECHANICAL <br /> <br />COMPARY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICAITOH APPIIOVIlIl B~*U"""~~. PERKIT OFFICER. <br />