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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />1 ' 1/94 <br />'.'/1. . ~ /O.-J ' <br />{~V . LOtiW'- <br />. g ?' <br /> <br />OWNER · S rwm l 1'. ./~ <br />OWNER' S ADDBESS ~{ ',7' <br /> <br />" <br /> <br />, . <br /> <br />PHONE <br /> <br />i/ ~.. <br /> <br />, <br /> <br />~ <br />- "j <br />i <br />...... <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIP'lION: LOT(S) <br /> <br />BLOCIL.-.SUBDIVISION <br /> <br />PARCEL I. D.' (OBTAIN FROM. PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction --..-.Addition V Alteration ---.Jlepair ._Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />-Peaolish <br /> <br />PROPOSED USE: ~sing1e Faaily <br /> <br />---lt/F _' of Units ---lt/H <br /> <br />_ec:-ercia1 <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---..Restaurant Ii: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />g/ <br />Square Feet, .' Height <br /> <br />f <br />BUILDING SIZE: X I - <br /> <br />". <br /> <br />RESIDENTIAL: AT'lACB (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMKERCIAL: AT'lACB (3) SETS' OF BtJILDING PLANS Ii: (1) SET ENEI\.GY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />~LECl'RICAL <br /> <br />PERMITS REQUESTED <br />~~OOIOt:J <br />$. v' Va1uation of Total Construction <br /> <br />AIIP Service V Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IEClWlICAL <br /> <br />$. <br /> <br />-PLJJflBING <br /> <br />GAS <br /> <br />Va1uation of Hechanica1 Installation <br />~ 41 ' ROOFING SPECIALTY <br />~rtme _Steel Other <br /> <br />TYPE OF CORSTRucnON: .-Block <br /> <br />FIRISBED FLOOR ELEVAnORS: <br /> <br />Fl'. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CORTRACTOR SECTION <br /> <br />BIJTIJ)RR &? k mHPANY V'W l.JE"'k <br />y' # ./ "State Cert. or Regist. . <br />Sisnature J ~ L"A~ ' City License Registration . <br />****************************************** <br /> <br />~ ~ .a COIIPARY i)u2tJ.~R-- <br />~. /, /" State Cert. or Regist. . <br />e ." Q . City License Registration . <br />..............*........................... <br /> <br />PLUMBER. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****..****************.*********..*.*..*.. <br /> <br />Signature <br /> <br />IlECBABICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />*.*****************.*****************.**** <br /> <br />Sisnature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.****.****************.***..*****..*.****. <br /> <br />Signature <br /> <br />APPLICAnOR APl'IIIIVBIl BY '11 ~ m mJ- ~ <br /> <br />PERHIT OFFICER. <br />