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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S lWtE t<1~hO\rU. (\:,rk..>{ I , PHONE <br />OWNER'S ADD1IESS S ~1 tt- I c R 5" '-II:: " 7~erh, J ) >- Fl I b~b 2.. <br /> <br />LoJ-. be <br /> <br />--- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'ION: LOT(S) <br /> <br />BLOCIL--SUBDIVISION <br /> <br />PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />~ <br />WORK PROPOSED:-Hew Construction .--Jddition -..Alteration -.Jtepair _Install <br /> <br />_Sign <br /> <br />---1fove <br /> <br />-Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---34/F _' of Units ---34/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-.Jtestaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATrACB (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ArI'ACB (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />.V;UILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />/ &-0 .- 0-0 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IEClWlICAL <br /> <br />$ <br /> <br />Valuation of tlechanical Installation <br /> <br />_PLUtlBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF OORSTRUCTION: _Bloclt _Fralle _Steel <br /> <br />Other <br /> <br />FDlISBED FI.OOR. ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRAClOR SECTION <br /> <br />BIJTI.DRR <br /> <br />aitlPAHY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />F.J,XCTRICIAII <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />SignAture <br /> <br />PLUtlBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BYJtt7~'-j fa thJ-1"G. <br />\j' \t <br /> <br />PERMIT OFFICER. <br />