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<br />". <br /> <br />~~.~' <br />~6~~.~ <br /> <br />" <br /> <br />., <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />-=w h", <br /> <br />:J <br /> <br />{; r:- I Fr<r0 <br />(' <6'-1 A 5;r <br /> <br />PHONE <br /> <br />)( I ~ 7 ~ ~ 2 ~ CPt> <br /> <br />2 e ( ~ 1 ".;", / 1<) f I-. <br /> <br />J cg-n- ~+- :z.ef LIY t J() ;:- L .:s.3 5' Yo <br />...... St>U~ tv I , I I I I <br />LEGAL DESCRIPTION: LOT(S) 1'/ i / ') f J,k BLOCK 10ft SUBDIVISIotlif1ot 2Q.~v kd 5 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :_New Construction _Addition ./Alteration /' Repair _Install <br /> <br />OWNER'S ADDRESS <br /> <br />e;-~ y( <br />Slp3Y <br /> <br />~.~ 5''/0 <br /> <br />JOB ADDRESS <br /> <br />PARCEL 1.D.' <br /> <br />_Sign <br /> <br />---1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_KIF <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br />A- -\-\-1\ ck J <br /> <br />BUILDING SIZE: ~x 1./ D. ,2<?(O Square Feet. /~ Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />'i b 00 * <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />/KECllAlfICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? /' <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTUlER . COMPANY /'."~(Y'-P n, q)Y\ -R't~ <br />/~~ Q.~ State Cert. or Regist. . <br />Signature 1_ T\ , City License Registration . <br />*****. **** ***************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />~ ~ ~~ State Cert. or Regist. , <br />"'-'.'Nr-... .. J\ City License Registration t <br />. ******.*********************************** <br /> <br />SillmAture <br /> <br />PLUMBER <br /> <br />~ <br /> <br />COMPANY <br />~ ~ ~ ~ State Cet<. or Regist. . <br />f\ City License Registration t <br />*** * *********************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />~ <br /> <br />~ COMPANY <br />~ ~ State Cert. or Regist. . <br />~ City License Registration , <br />***** * ********************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />