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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE Ji.J~ h PO/ep, J't'r <br />OWNER'S ADDRESS 3g>'I~7 }lIJ...-V 3~ ~- <br />, <br /> <br />JOB ADDRESS .'3 9 ~tI / )J b--Y 3"'1/ ~- <br /> <br />/ <br /> <br />PHONE <br /> <br />tJi;3 7 g $' .,5'?67 <br /> <br />LEGAL DESGRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' d2.-:26 -z/-6()/o -O~3~~ - (jtJl2- <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~New Construction _Addition ---.J\l.teration _Repair _Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F8IIily <br />~eo-ercial <br /> <br />_KIF _' of Units ---.Jt/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />----...Restaurant Ii Health Departaent Approval <br />DESCRIPTION OF WORK: .-4'1,,., '1'-/,;r4~ b till jilt )/-5 <br />/ , <br />; <br />BUILDING SIZE: I-I':! X .ff-~' , 2. J.f -7: ~ Square Feet, II Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTAGB (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTAGB (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />--':::"BUILDING <br />........ELEC'l'RICAL <br /> <br />$ 3()~ tJoz!. <br /> <br />Valuation of Total Construction <br /> <br />IJ() <br /> <br />AMP Service <br /> <br />V Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IEGJIAlIfICAL <br /> <br />$ <br /> <br />6 - <br /> <br />Valuation of Mechanical Installation <br /> <br />VPLUKBING GAS ROOFING <br />TYPE OF CONSTRUCl'ION: i/"'"'Block _Fr8lle VSteel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: ~ 8. 0Oy... <br /> <br />YES <br /> <br />t../ <br />NO <br /> <br />IS PROJECl' IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />Signature <br /> <br />{?~. <br /> <br />CONTRACl'OR SECTION <br /> <br />, GOMPANY:D.clcL ~~#~t1 I GtA-.>Ir~Cj.~h( ~c, <br />~ - State Cert. or Regis't.. (j(..~7 / 7f> <br />LL//~~ City License Registration .''1 <br />.......................................... <br />oJ <br />COMPANY\' ~)'h\~~\Qk ~ r <br />State Cert. or Regist. . e.,'Q..oc"O CP7 q <br />City License Registration' \-.:;:~ <br />.......................................... <br />'- <br /> <br />BUILDER <br /> <br />RT .RCl'R1CIAN <br /> <br />SiimAture <br /> <br />PLlll8EK ~ ~ <br />Signature ' 'g: ~ <br />/ <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />..........................~............... <br /> <br /> <br />KEGBANIGAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />omRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />APPLlCAnON APPIlOVEO BY 71 ~ >>1 ,n-~ <br /> <br />PERMIT OFFICER. <br />