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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />. [_-;1 i " . . I //.. ("f . <br />OWNER: S NAHK 6'. A pn Q I L (". f::: b q I',ri'! (J / /Y <br />OWNER'S ADDRESS /2 -) J s~ L t2',-, 7 /'7 e /, ~)i} <br />v{ I <br /> <br />JOB ADDRESS t,\? r/o t) f! <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />--- <br />~ <br /> <br />PHONE <br /> <br />;'};r/ p (I,' 4' <br /> <br />I) t-~~1 -- /) .!S .S 1.:./' <br />/,f_~/ ~~ :<c::.---- ~- <br />r.?-L. --" ..~. Jc..:;!. .J <br /> <br />;/ <br /> <br />(':: <br />- ! 2'. <br /> <br />~'?' .~' <br />-< ,.../' / <br />,..J_..J --'" <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION "S.. /1/ elf C /l /- ~5" <br /> <br />PARCEL 1. D.' 0 ~h - ;) f - (') / F)() - OGt?r> n - bh ')n (OBTAIR FBOH PBOPEBTY TAX NOTICE l <br />WORK PROPOSED: New Construction ~ddition ~lteration ~epair _Install <br /> <br />_Sign <br /> <br />PROPOSED USE: ~~le Faaily <br /> <br />_ec-ercial <br /> <br />----,,"ove <br /> <br />_DeJIOlish <br /> <br />_K/F _' of Units _K/B <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Deparbaent Approval <br /> <br />c:'./ r / ~ <br />)i PI ':^:i L <br />;"....1 <br /> <br />f--~/hY/ , /"" / <br />/' <br /> <br />~ VJ , I "clP~1 .--. " <br />/:... 't- ": = L r :=!:.. <br />------ <br /> <br />DESCRIPTION OF WORK: 1'1 P u...J (1 () /) 5/1-( /(-/ ;'0". <br />I If <br />BUILDING SIZE: G9 5 X 54 . 9 If <br /> <br />Square Feet.~Beight <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 />~UILDING <br /> <br />$ /? 9[1{) , '!'c <br /> <br />.' <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />----1tECHAlfICAL <br /> <br />$ <br /> <br />AI r 0.__ I <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br />~~rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Val.uation of Mechanical Installation <br /> <br />SPECIALTY <br /> <br />_PLUKBING GAS ROOFING <br />TYPE OF CONSTRUCTION: &-'iilock _Fraae _Steel <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ~ )/I,r!; c /;" ,np/ J..k, flJ r L?1!h'-I/~/<:- <br />State Cert.. or Regist.' ~~-, ,?9 <br />City License Registration . L/ 7' <br />.......................................... <br /> <br />FINISHED FLOOR ELEVA!JORS: <br /> <br />BUIIJ)ER <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />................................. <br /> <br />COMPANY ScN' /'YJ//-:/-, ~J-?:& <br />State Cert. or Regist. t /4. <br />City License Registration . <br />.............*...*.........*..........*..* <br /> <br />Signature <br /> <br />~~ COMPANY <)C#~/'-/~ 2/7~ <br />. . / State Cert. or Regist. 'f .50/t <br />.,' City License Registration' .1 <br />.......................................... <br /> <br /> <br />COMPANY ,//;.C .00-, <br />r State Cert. or Regist. . <br />Signature ~"rtA ;Yf)'-"J\'yr..a\~ J' City License Registration' <br />.......................................... <br /> <br /> <br />APPLICATION APP1lOVED BY 1!aAV' -0 J11 ~~ <br /> <br />PERMIT OFFICER. <br />