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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S HAHE 1tr€iJ,,( ~~A/.s <br />OWNER'S ADDRESS L/i74 .c-4 S'I- <br />,{J c7/1(//(/fr //5 k- <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />B~SUBDIVISION <br /> <br />PARCEL I. D. f (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ~ddition Hteration -.Jtepair _Install <br /> <br />_Sign <br /> <br />--lk>ve <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~/F _' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-.Jtestaurant &: Health Departaent Approval <br /> <br />DESCRIPTIOH OF WORK: <br /> <br />BUILDIHG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />COMMERCIAL : <br /> <br />ArrACK (2) PLOT PLARS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ArrACK (3) SETS OF BUILDIHG PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COHSTRUCTION. <br /> <br />~UILDIHG <br />A-ELEcnuCAL <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />g 5(; t1'..::-- Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~ClWJICAL <br />XnUMB~G <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COHSTRUCTIOH: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDnSHED FLOOR ELEVAnOBS: <br /> <br />Fl. <br /> <br />IS PROJEct IN FLOOD ZOHE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />,'. <br /> <br />COMPAHY <br />State Cert. or Regist. f <br />. City License Registration f <br />.......................................... <br /> <br />KIITT.DER <br /> <br />Signature <br /> <br /> <br />. ~1;J COMPANY M~Y11~ tJ..ec:Jr"L/ <br />0/ ~ State Cert. or Regist. f t;,(z' OOI34~'1 <br />. City License Registration f ' <br />.......................................... <br /> <br />PLUMBER <br />Signature& <br /> <br />, <br /> <br />COMPANY 4-. C ~~ ?/n--7 <br />~ State Cert. or Regist. f t tr;:; tJD 378? 1 <br />(' ./~--.I"-- City License Registration' ;),,7/ <br />.......................................... <br /> <br />HECHAHICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPAHY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />