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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME r;ENce~L /-lame [J6;)...Uf~OpnCNr PHONE <KId -S~ /- ~Sgl <br />OWNER'S ADDRESS ~/;;( :s'~'7 []:. -S Tf2C-eT lA4:fEc'tv';:-l- ~ <br />JQB ADDRESS 315 '15'1. '3 g "'1,5 ~ I :3 Y 4S~. 3 g <..{60 Co rr CJNwoo:i Pt..,qc& <br />, , , <br /> <br />LEGAL DESCRIPTION: LOT(S) IIi} II~,. IJ.~JI'I BI.OCIL--SUBDIVISIONj)~ i f'T'-Uocci \II H f\cJG" <br />PARCEL LD.' d-J)1o -~) -cx::rtY>-OIIl.On:t..O /1.3,0111.{ (OBTAIN FROM PROPERTY TAX NOTICE) <br />, , r <br /> <br />WORK PROPOSED:.)L..New Construction _Addition -...Alteration _Repair _Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />-.JI/F _, of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />------Restaurant &: Health Departaent Approval <br /> <br />DESCRlPTIOR OF WORK: ;;;'0 ><6D FREE 5/rlHd/Al9 CAlZ-pC/2.- r <br />I I <br />BUILDING SIZE: (:){) X tOO. Square Feet, ~~/OHeight <br /> <br />RESIDERTIAL: ArrACK (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ArrACK (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUlLDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'1'RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECllARlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIRG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />)('X SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOR: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FI1IISBED FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />-~_.-. <br /> <br />BIJTI.DER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />RI.RCTRICIAII <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />SionJlture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />IlECHARIGAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY EdwAe.d L, J...A RA DE M.I}, C~K LLon 6 ~~Co,. <br />~ ~d~ ,.. ;J State Cert. or Regist. t ~.Xt 4.31' <br />j! . ~ City License Registration' Iv7..~M. <br />*****~** ******************************** 'c' <br /> <br />OTIIRR <br /> <br />APPLICATION APPROVED BY <br /> <br />'.. .'.'., '. <br />PERMIT OFFICER. <br />