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<br />APPLICAnON FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME Q U$~6 LL. yV\. ~QOlUI'-~ PBONE 7 '80 /l>L.Y... <br />OWIiER'SADDRESS i)7.3b JLl/"Lc:ELH LOURT Z'\j)LCS r-C.3.:?s4--\ <br />JOB ADDRESS 4'( <5 3, S I J.....v E f( C IRe L(: '2 E PH 'y1<JO LL s:. F L ~ rs S-4 I <br />LEGAL DESCRIP'lION: LOT(S) BLOCK SUBDIVISION C (-/.I4L Fa !--.it V ILl 145 <br />PARCEL I.D..12..ELOr? D PLy\-T Boot'\. 'S \ PY\&E'7{) (OBTAIN PROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: t./Hew Construction ---..Addition ---..Alteration --.Jlepair _Install <br /> <br />_Sign <br /> <br />--.Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: \/'Single Fsaily <br /> <br />--.H/F _' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />---Restaurant & Health Departaent Approval <br /> <br />DESCRIPTIOR OF WORK: <br />BUILDIRG SIZE: 2 q X '4-s{.,") J 2(t, Square Feet, <br /> <br />I <br /> <br />'8 Height <br /> <br />RESIDEIITIAL: AnACH (2) PLOT PLANS air (2) SETS OF BUILDING PLANS air (1) SET ENERGY FORMS. <br />COHMERCIAL: ATTACH (3) SETS OF BUILDING PLANS air (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />.L.BUILDDlG <br />V RI.RCTRICAL <br />V HEawJICAL <br /> <br />;' . - ~ <br /> <br />....1L..nUtlBDlG <br /> <br />Valuation of Total Construction <br /> <br />AIIP Service <br /> <br />l / Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9F CORSTRUC'I'lON: -1.L.Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAnORS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />.......................................... <br /> <br />BIJH.Dm <br /> <br />CONTRACTOR SECTION <br /> <br />Cf2 COMPANY q () .5 oS E- LC rV\, ~ )(Cl\...1 \'-\ <br />State Cert. or Regist. . C (T (' n ~ I h I \ <br />.. t~~LL rYl. cg~ City License Registration . cz.. 4--'5, <br />........................................*. <br /> <br />Signature <br /> <br />HECIIAlf[CAL <br /> <br />Cf~L0k1A <br /> <br />COMPANY 'i!. US~(:::-LC 1"1/\. <J2,12olu/~( <br />1"\A (j) State Cert. or Regist. . en. (:x::> 105.c; I <br />~:::> 'Vt"l,~ ' City License Registration . 1 b X <br />.......................................... <br /> <br />COMPANY 9 uss.F. Lc t\t. ~J2.oCv/--( <br />(-;) State Cert. or Regist. . r.: reo ~?,C{qq c <br />M. ~W1...~ City License Registration' (0'/ <br />..................................******** <br /> <br />COMPANYQC) $S,.(-::-I_L 111. ~ftOw/d <br />r:;-) State Cert. or Regist. # c..1'\ La 4-1 '2.~4- <br />tv\. J"')~~ City License Registration, ~ll <br />...........*.***..*...**........*..*.***** <br /> <br />ELECTRICIAH <br />SiQIIAture q~lL <br /> <br />PLUMBER <br /> <br />qt~lt <br /> <br />Signature <br /> <br />Signature <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration I <br />.......*...*..**.**.*.*.*.**.*.*******.*.. <br /> <br />APPLICAnOR APPIIOVIlD BY '11d'~cr l'f/ ff',~J PEIlKIr OPPICER. <br />