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<br />APPLICAnON FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />~-~f't-1P -5~rV') <br />r q_ ~- 9r;; <br /> <br />7StL <br /><to 4- - iJ..1i -:5 r:. (/ I <br /> <br />OWNER I S HAKE <br /> <br />5u A.J /3 rhJ1L. <br />I E. -.1 t:? nr EtLS / y.J <br />$'435 C:ALL 8L tJ.f) <br /> <br />PHONE <br /> <br />OWNER I S ADDRESS <br /> <br />,:5r <br /> <br />/ <br /> <br />IS Jt...z, ol<C:.5 i/ J L L (= <br /> <br />JQB ADDRESS <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:-Hew Construction ---..Addition ~eration _Repair _Install <br /> <br />_Sign <br /> <br />-.JIove <br /> <br />_D~lish <br /> <br />PROPOSED USE: _Single Faaily <br />~erCial <br /> <br />_H/F _' of Units _H/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />--...Restaurant & Health Departaent Approval <br />DESCRlP1'ION OF WORK: I AI ~ p' fL !2..- [?N(/v ~ d ~ <br /> <br />BUILDING SIZE: 1/-0 X 80 I <br /> <br />Square Feet,j7d?~o Height <br /> <br />RESIDEIITIAL : <br />cOMMERCIAL : <br /> <br />ATTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ArrACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~ <br />~UlLDING <br />/' ELECTRICAL <br />~CllAlfICAL <br />~~~G <br /> <br />PERHITS REOUESTED <br /> <br />$ .3 0. 0 to C) Valuation of Total Construction <br />hi ~ f'7 ,..,"(. . <br />AKP Serv1ce <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />GAS <br />~loclt <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJEct IN FLOOD ZONE AREA 'I <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BurTnER <br /> <br />CONTRACTOR SECTION <br />L ClIIIPAIIY <>f ~ ~f ;' cJ ~ L <br />~ P If-- State Cert. or Regist. C (5, C 042...17 (. <br />- ~ City License Registration , 1'1' (( <br />****************************************** <br /> <br />Signature <br /> <br />F.T.RCTRICIAIl <br /> <br /> <br />COMPANY yVI cic c~ E~ c-G~, <br />~ State Cert'. or Regist.' E f'L~c(" ;- '/ Y ~ <br />~ City License Registration' / ~ 0 ~ <br />****************************************** <br /> <br />PLUHBER <br /> <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />* *************************************** <br /> <br /> <br />Signature <br /> <br />IlECRAlfiCAL <br /> <br />A/H- <br /> <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />