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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHE . VI - J41 '8 r r 1./ <br />OWRER'S ADDIlBSS .3 7 '2 a/ / 4-/; s s ~ <br />JOB ADDRESS 5 ~ .S2 <br /> <br />PHONE ;? ~O - b->;t:r9 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSBD:---.Jiew Construction ---..Addition ----Alteration ---..Jlepair -_Install <br /> <br />_Sign <br /> <br />----Hove <br /> <br />->>eaolish <br /> <br />pmPOSWWE: _S~eF_ily <br /> <br />---Yt/F _, of Units ---Yt/H <br /> <br />_ec-ercia1 <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />---..Jlestaurant Ie Hea1th Departaent Approval <br /> <br />oZ (O?U tI c- ,p... <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDBIITIAL : <br />COttHERCIAL : <br /> <br />A'lTACB (2) PLOT PLANS Ie (2) SETS OF BUILDING PLANS Ie (1) SET ENERGY FORMS. <br />A'lTACB (3) SETS OF BUILDING PLANS Ie (1) SET BHERGY FOlUlS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTW <br /> <br />~UILDING <br /> <br />$ <br /> <br />Va1uation of Total Construction <br /> <br />Rl,RC'l'RICAL <br /> <br />AIIP se~Ytt . Florida Power Corp. <br />$ ;;( <I ,/ s: ~tion of Kecbanica1 Installation <br /> <br />W.R.E.C. <br /> <br />~ClWJICAL <br /> <br />--PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OOISmUCrION: ~loclt _Fralle _Steel <br /> <br />Other <br /> <br />FDlISBBD PLOOll BLBVAnONS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RIJTlJlER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />~ ' COIIPAllYf'l'trg4.",,, O",<:ii: 'C <br />- . . ~ State Cert. or Regist. . ' 6j~f ~/ 7 <br />ur . City License Registration t ~~ <br />. ',/ .......................................... <br />'--"" <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />COKPAHY /(;-;J S$1-,;..- C.9~{,J <br />State Cert. or Regfst. t d/e~/..2. <br />City License Registration . ~ / <br />.......................................... <br /> <br />Signature <br /> <br />HECIIAHlCAL <br /> <br />Signature <br /> <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />APPLlCAnON APPROVED BY <br /> <br />PERMIT OFFICER. <br />