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<br />APPLICATION FOR PERIIIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAHE t5Avi VJ//A:)8 6~/)/L[)ep< PHONE 99/-7~b;; <br /> <br />=:=:/;~7>~~;fp~ fb(AJ~~ BLJ/J) , ;/}/YJjJlJ <br /> <br />LIlGAL DllSCRIPTIOR: LOT(S) ,5.. 1: BLOCl< SUBDIVISION ::jJj".~ feR (:J ilK r; <br />PARCEL I.D.' 3 - 2- b -- Zl - 0 I ~ 0 - 00000 -05'-1 >0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:Xr.ew Construction ---"ddition --..Alteration --.Jtepair _Install <br /> <br />_Sign <br /> <br />PROPOSED USE: X Single Faaily <br /> <br />---1fove <br /> <br />->>eaolish <br /> <br />---.Jt/F _' of Units ---.Jt/H <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--.Jtestaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: sl/'./yLe F/-J/YJ/L)v t? es- <br />BUILDING SIZE: 5l-f X ~~ .~quare Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGI' FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RT.F.Cl'lUCAL <br /> <br />PERMITS REQUESTED <br />$ 80) 0 aD Valuation of Total Construction <br />15C) AHP Service X Florida Power Corp. <br />$ ;;).') 0 (!) Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />~UILDING <br /> <br />---IfEClWUCAL <br /> <br />-----PLUMBING GAS sf, I Al9 {~ROOFING <br />TYPE OF CORSTRUC'l'IOR: -X..sloclt _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIORS: <br /> <br />Fl. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? ><- <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACl'OR SECl'ION' <br /> <br />BurlJlllll llmIPAIIY &y ~-O(f'~ ~ <br />~ C ~ ,- State Cert. or BegfJit.' 66656;;&'0 <br />Signature -^ ~ City License Registration' ",2 y'p <br />. ..~.*................................. <br /> <br />RT.F.CTRICIAR COMPANY S ~ ~ c3/-e J- ~ h c-- <br />;J2. Ja ~ State Cert. or Regist. f i?1l0t:r0 -:2~v.J"'" <br />SianAture A' ' City License Registration', z (.U .- <br />.......................................... <br /> <br />PLUMBER , COMPANY $/VYn /TYJ \/- ;/~ <br />/~/) 1 / /' State Cert. or Regist. , - cz:> / / <br />Signature ~/L4,/~ City License Registration' ../6("/ <br />~ . .' ...,.. ............,.............................. <br /> <br />HEGIIARI~ / 4 COMPANY A.fl. Co plL <br />. ~ ..// State Cert. or Regist. f ~/'Jc..o 3J....aCl7 <br />Signature . .~~ City License Registration' I ~I <br />. ........................................ <br /> <br />OTRRR COMPANY reS; d (J" -I i q I !2o O-Pi'n:f <br />C7\ I J () State Cert. or Regist. , <br />Sigoaturek-1e<"..:::::l./oI k..o~~ City License Registration' <br />..... .................................... <br />APPLICAnON APPIlOVBD BY )1 ~ 7J; ~ PIlIlKIT OFfiCER. <br />