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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAME <br /> <br />r 0 l/ r-:$ -f e-l IF' 0 f- L e / ~y yo It ,li/PHONE <br /> <br />o ,'c- It Je we. fI <br />It:f~--l{( '11 <br /> <br />OWNER'S ADDRESS <br /> <br />JOp ADDRESS <br /> <br />),J. 0 'l <br /> <br />f! d Sf. <br /> <br />t -;)... - 5 <br /> <br />7- e,(y, L: 1& <br /> <br />~(. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D. t <br /> <br />BLOCK 1 F'1 SUBDIVISION <br /> <br />Pio..+ B."A. I <br /> <br />P a-r '{ <br />, <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:L.wew Construction ~ition ----Alteration -J.epair _Install <br /> <br />_Sign <br /> <br />~ve <br /> <br />_Deaolish <br /> <br />nOPOSED~E: _S~eF_i~ <br /> <br />---14/F _' of Units ---14/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-----Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: 5' h v f PI e.. k 1')&--11 A (60 11 " -t (!o <.J e y <br /> <br />BUILDING SIZE: t?J X C, () t Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />nOPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IECllANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlJISBED FLOOR ELEVAnOliS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT .DB <br /> <br />COMPABY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />RT .RCTRICIAIII <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SignAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />HECHARICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APP1IOVED BY Ylt1 Ath G JJ1 &&J'd <br /> <br />PERMIT OFFICER. <br />