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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OIlllEt" S IWIIl q lJ 5SE; I ( rY\ 'j), R n W N <br />OWlIER t S ADDRESS g:2 q .c; t3 '" G-F L~ <br /> <br />PHONE <br /> <br />~'go '15 '2-4- <br /> <br />LOuR,. ZEPI-IY'Tl HILLS Fe... 33.S4-l <br />, , <br /> <br />JOB ADDRESS <br /> <br />-<S Il V G:fl <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />c... ( R. C L~ Z E PH Y R tf I LL So , F L :Ss 54-- I <br />BLOCIL.-SUBDIVISION CI-tI4L FOHT VIl.LVlS <br /> <br />PARCEL LD.' 'KG'" DR. D (JLI4T 'Ecole~:S \ p~ (,,:E 'in <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :_New Construction ----.A.ddition ----lUteration -.-.Repair _Install <br /> _Sign -JIove _Deaolish <br />PROPOSED USE: _Single Faaily ----1t/F _' of Units _H/H <br /> _ec-ercial _Indust. _Swia. Pool ~ther <br /> <br />-.-.Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: ~,REET <br /> <br />L\ ~1+TS. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITL\L: 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 />PERMITS REOUESTED <br /> <br />~UILDING <br />...L'ELECTRICAL <br /> <br />$ <br /> <br />.3 <br /> <br />AIIP Service <br /> <br />Valuation of Total Construction <br />~orida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~ClWlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECl IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />COHTRACTOR SECTION <br /> <br />,\;.' <br /> <br />RurUlRR <br /> <br />:~CI6I <br /> <br />, , COMPANY <br />State Cert. or Regist. . <br />. . City License Registration . <br />****************************************** <br /> <br />Q. COMPANY c;:(U..s;.SELL- /)'1 <ERnw)" <br />-/ ' ~. J J ~ State Cert. or Regist.' ~R t"'-.f) 1055 \ <br />~ ~City License Registration' Jf-,~ <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />KECIIAlfiCAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />