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<br />APPLICAnON FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />JOB ADDRESS <br /> <br />.~ \ Le~~ <br />FJ ;;< I d. <br />S- J- / d.- <br /> <br />. <br /> <br />LEGAL DBSCRIP'llON: LOT(S) <br /> <br />I~ ~ r y Le <br />;Z 0 '"\- \" b l' <br />2-0 \~ S+ <br />B~SUBDIVISION r\ I\e C. \-eS-\-. <br /> <br />PHONE <br /> <br />7~:s;{oS-o <br /> <br />OWNER' S NAHB <br /> <br />OWNER · S ADDJlESS <br /> <br />PARCEL LD.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ----!addition --Alteration ~epair .x.Install <br /> <br />_Sign <br /> <br />~ve <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Feaily <br /> <br />---1t/F _' of Units ---1t/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />~estaurant It Health Departaent Approval <br /> <br />DESCRIPTIOR OF WORK: I ~ S ~ \ \ <br /> <br />7L <br /> <br />s c~ -1-e \ \ ~ te <br /> <br />\) ~: S '" <br /> <br />BUILDIRG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RFSIDEIITIAL: ATTACH (2) PLOT PLANS It (2) SETS OF BUILDING PLANS It (1) SET ENERGY FORKS. <br />COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS It (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. <br /> <br />PERMITS REQUESTED <br />_BUILDING S--! <7? C(, C;. ~) Valuation of Total Construction <br /> <br />_ELEcrRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />H.R.E.C. <br /> <br />-'lECllAllICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIIIISIIBD PI.OOll ELEVAnORS: <br /> <br />Fl. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RIITI.DRR <br /> <br />Signature <br /> <br />RT .RCTRTCIAII <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SiDnAture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />IlECllANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />......................... <br /> <br />Signat <br /> <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . ~X 0cJ 5b~~ <br />City License Registration' __ ___ <br />.............................. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />