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<br />APPLICAnON FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER. , S NAME <br /> <br />. <br /> <br />J 0 l ,,-\ \11 t-.1 c.. e t--\\ <br /> <br />PHONE ., RJ.. - .s- -S' q 3 <br /> <br />OWBER'S ADDRESS ~ -J.3 ~ <br />JOB ADDRESS .$ I '-\ \ <br /> <br />G-Ck L L '~L\l D. <br />G-o..LL ~Lvo <br /> <br />LEGAL DESCRIPTION: toTeS) <br />PARCEL I.D.# <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: VNew Construction ~ddition --lUteration -ltepair _Install <br /> <br />_Sign <br /> <br />--...-Move <br /> <br />_Deaolish <br /> <br />pmPOSEDWE: _S~eF_i~ <br /> <br />---1f./F _, of Units ---1f./H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---..Restaurant &: Health Departllent Approval <br /> <br />, , <br /> <br />DESCRIPl'ION OF WORK: I ~\ & '\. u. ~ ~ to' D (~ , .~ c..- '\ <2.. l. l. ~ "\ Q.. b l & " <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDERTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLARS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET EHERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDING <br />-tilJkc:nuCAL <br />J:1L~CBAlllCAL <br />tililPL1DIB~G <br /> <br />$ <br /> <br />- 0 <br />\800"" <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />1'\ \ ~ <br />1'-\ \~ <br /> <br />Valuation of Mecbanical Installation <br /> <br />k.\ \ \0,; ROOFING <br /> <br />1-\. , ~ SPECIALTY _ <br />\)i 5, h. <br />Sc0 e. k ~ cr- /L Other <br /> <br />TYPE OF COIlSTRUCTION: _Block _Fr_e _Steel <br />FIllISBED FLOOR ELEVAnOIlS:~. IS PROJEct IR FLOOD ZORE AREA? <br /> <br />YES <br /> <br />NO <br /> <br />****************************************** <br /> <br />Birr' .DER <br /> <br />CONTRActOR SEctION" <br /> <br />COMPANY 0 b ~ r-r <br />I'":J . fJ (\"'" State Cert. or Regist. # <br />' "" c.rt' ~ \ ~ . ~,~ City License Registration . <br />****************************************** <br /> <br /> <br />Signature <br /> <br />IU.RCTRICIAII <br /> <br />1'\ \ (~ <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Sioollture <br /> <br />PLUtlBER. <br /> <br />COMPANY <br />~ \0( State Cert. or Regist. . <br />, , City License Registration i <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />t-\ <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />****************************************** <br /> <br />\ fC\ <br /> <br />tlECBANICAL <br /> <br /> <br />cq,t, c' ,K"r,,,,,:,, <br /> <br />t';;' <br /> <br />COMPANY <br />State Cer . <br />City Lie I <br />****************************************** <br /> <br /> <br />.:' ~ <br />. ~ <br />. -'i) <br /> <br />S <br /> <br />'... <br /> <br />APPLICAnOB APPROVED BY <br /> <br />PEmrrT OFFICER. <br /> <br />../' <br />