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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N~'-(l1j;.. Cr1+R.R. e.1\J <br />OWNER'S ADDRESS Lt'r-.2q s7')/b AlEtVl'i?R..r,/l)12.. ~ <br /> <br />PHONE 7,f~ -;);l 7~ <br /> <br />JOB ADDRESS <br /> <br />S 8m tz: <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />j) <br /> <br />BLOCK .:26 SUBDIVISION c:21 <br /> <br />PARCEL LD.' tJ/3{) ~CJt:JaA? -L).:;;qO <br /> <br />(OBTAIN F~OH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Hove <br /> <br />____DeJlolish <br /> <br />PROPOSED USE: VSingle Faaily <br /> <br />____H/F <br /> <br />____, of Units _H/H <br /> <br />____eo..ercial <br /> <br />____Ind~st. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: SJ.l5:-IJ.. SC~ ~&V VU::JO/?"l- ClI-lf:.F>dR...r--- Ph-71o <br /> <br />BUILDING SIZE: /2.. X /,z, /tflf <br /> <br />Square Feet, 970R'Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />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 /> <br />$ <br /> <br />Lf7/9.oo <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcrION: _Block ____Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEcr IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*********************************a******** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY fiC.€;:J- L U iC1 A <br />/l P'/ +-..1 . State Cert. or Regist.' el€.co.;>i//,PO <br />~ City License Registration # ~~L> <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 />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />**********************.******************* <br /> <br />APPLICAT~~'~n~:' '~~:r>>t,--~ ~IDL <br />& ~l~' :1~_., (j ~ <br />