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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />1/-;2<f - 9' Y <br />I. '/ IJ P /1,1 <br /> <br />OWNER'S NAKE Ic.--r-.,.... y ,L ' fli) tJ d PHONE 7'7 3 ... 7? 3 /)r- <br />, <br /> <br />OWNER'S ADDRESS ~ 1'1 C L i (I) N e. r V r. Z e p J.. y yo h,' /1 F /,.;, J.J.6 'I /;) <br />. , <br /> <br />JOB ADDRESS ,11f ~ L" fIJ f.} e T D,... L r:... f it )'Y h " 'I FI//, 3 J j- '1 0 <br />LEGAL DESGRlPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1. D.' :2 - 9... 6 -.:L/ -- -s 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ---.Addition 0lteration -..Jlepair _Install <br /> <br />_Sign <br /> <br />-",ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single FSIIily <br /> <br />-"'IF _' of Units ---1t/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: '" 'I X 9 t , <br /> <br />~ j- Square Feet, i f'r Height <br /> <br />RESIDENTIAL: AT'fAGH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHHERCIAL: AT'fAGH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'l'.RI.CAL <br /> <br />MIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HEGHAlfICAI. <br /> <br />$ <br /> <br />Valuation of Mechanical Ins tallation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF GONSTRUcnON: _Block _FrSlle _Steel <br /> <br />Other <br /> <br />FIIUSBED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUlWER <br /> <br />GOKPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />SianAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />IlECBANlGAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPIIOVED BY 11 &ftV-~ (Ii ~~ <br /> <br />PERMIT OFFICER. <br />