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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S __ 6ry (~ ~ <br />OWNER'S ADDRESS l,~ ;?; . ~ vUrUS <br />&~01 d~/;'"j)A/e <br /> <br />~NE . ~/'1'3 6<0 <br />1/1--/<-/,01+- <br /> <br />JQB ADDRESS <br /> <br />,l),e , <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D.' 3. - Z, - 2 I - D I SD r- .e - Od s-v (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br /> I <br />WORK PROPOSED:~New Construction -Addition --...Alteration -.,Repair _Install <br /> _Sign ---.JIove _Deaolish <br />PROPOSED USE: ...J,;Q..Single Faaily ---1f/F _' of Units _M/H <br /> _ec-ercial _Indust. _Swt.. Pool _Other <br /> <br />---..aestaurant " Health Depar.....tz:rOVal <br />DESCRIPTION OF WORK: A /(//.-1/ I'l/ U U4-tI <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDING <br /> <br />$ <br /> <br />4~o~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />V.R.E.C. <br /> <br />---1IEClWUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY, <br />1/ tJ M / ~iJ ,(/I'Other <br /> <br />TYPE OF CONSTRUCTION: -Block _Fraae _Steel <br /> <br />FIllISBED FLOOR EI.EVAnONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />........................*.**************** <br /> <br />YES NO <br /> <br />BUTT .Dn <br /> <br /> <br />COIlTIlAChlIl S~' <br />COMPANY '/UN- 7e~ <br /> <br />State Cer . or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />/02_ <br /> <br />RT.RCTRICIAII COMPANY <br />State Cert. or Regist. . <br />Sianature City License Registration . <br />*.************.************.************** <br /> <br />PLIDtBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />IlECIIAlfiCAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />*.**.*******************.***.************* <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />**.***.**************************.******** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />