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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S N <br />OWER'S ADDRESS ... '3 <br />JOB ADDRESS S3~ 7 ~ <br />LEGAL DESCRIPTION: LOT(S) <br /> <br /> <br />PHONE <br /> <br />.If)? -c:n-77 ~~~ <br /> <br />, <br />-e: <br /> <br />BLOCK...--SUBDIVISION <br /> <br />PARCEL 1. D. t (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ----!addition ~teration t-/hpair _Install <br /> <br />_Sign <br /> <br />--'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S~leF_ily <br />JL'~ercial <br /> <br />---1t/F _' of Units ---1t/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-J6estaurant Ii Health Departaent Approval &t- <br /> <br />DESCRIPTION OF WORK: r-r.b/.L.//I ~lId I A/~ w <br />~q) I <br />BUILDING SIZE: r~X ~, 1LJ.7'2-square Feet, /0 Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PlANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />cottHERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDDiG <br />..L:WC'J.1UCAL <br />~CBAIIlCAL <br />~~~G <br />TYPE OF CORSTRUcnON: <br /> <br />Valuation of Total Construction <br />AKP Service ~orida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />--<' <br /> <br />Valuation of lIechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br />~ _Steel <br /> <br />SPECIALTY <br /> <br />_Block <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAfiONS: <br /> <br />Fl'. <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..........................*.****.********* <br /> <br />Signature <br /> <br />i/2 cotIPANY (~jT <br />~ ~ State Cer . or Reg t. t 00 <br />City License Regis ration t <br />( r (;* * ***********************.************ <br /> <br />/ .0, .\.-{~ COMPANY MD~iP.J ~ It~{~"t- <br /> <br />.(IN/O;ra' .,,1 2(c <!T State Cert: or Regist. t <br />! I (, VIa h City License Registration t ~ ~ t..J / <br />****************************************** ~ <br /> <br /> <br />RIJTT.Dg <br /> <br /> <br />RT .RC'J.1UCIAlI <br /> <br />SilmAture <br /> <br />PL~ER d ~ COtU'ANY C~"..t'., ~jv- <br />. .-~ /J 0 It. State Cert. or Regist. t <br />Signature L ~-:z ,/)", fJa City License Registration t , ~'1 <br />****************************************** <br /> <br />MECHANICAL ~ COMPANY 5O,/Z//l-rCS-- ije'SCO-o-J jI-//(;~a.[ f <br />~~ State Cert. or Regist. t <br />Signature ~<i'~ . City License Registration t :11:;--- <br />L . *~***"** * ***************************** <br /> <br />-- <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />*********************************.******** <br /> <br />Signature <br /> <br />APPLICAfiOR APPIIOVIlD BY /J 11A1A'~ ,Y)) p~~ <br /> <br />PERMIT OFFICER. <br />