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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME 7:64 S,H1e~a// A...';/e .c:-OSP",..a.~b~PHONE )( I) 51;~ ;/--.7;?{/D . <br />OWNER'S ADDRESS <br />JQB ADDRESS J 9 ~ 3i'J /:~d ~~/' j:(/;/:Jd z tI!~h}..,/' Rn'/k . r/_ ?? S"~O <br />, / <br />_ LEGAL DESCRIPTION: LOT(S) BLOCIL...-SUBDIVISION <br />PARCEL 1.D.' ?-~ "L1o":L\COOC::lOOlOOCi..:H,6 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:-X...New Construction _Addition -^lteration ~epair _Install <br /> <br />_Sign <br /> <br />----.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F8IIily <br /> <br />--1I/F _' of Units _M/H <br /> <br />-:d::..eo-ercial <br /> <br />_Indust. _swta. Pool ___Other <br /> <br />____estaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: New ~/J//' Hnvc-e. <br /> <br />/ <br />BUILDING SIZE: /36 X 'I g , 6 $-) g Square Feet. ;Z 8 Height <br /> <br />RESIDENTIAL: ATrACII (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATrACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />..d...BUILDING <br />-K...,ELECTRICAL <br />~CllAllICAL <br />..LPLUMBING <br /> <br />$ <br /> <br />2 Sf') . /)D~_ iJ 0 <br />" <br /> <br />Valuation of Total Construction <br /> <br />tlLJo <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />-4-W.R.E.C. <br /> <br />$ <br /> <br />ICf()oo.'::;' <br /> <br />Valuation of Mechanical Installation <br /> <br />x <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block _Fr8IIe _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOK ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br /> <br />COMPANY <br />State Cert. or egist.' <br />City License Registration . <br />************************************* <br /> <br />..J.:12. <br /> <br /> <br />Signature <br /> <br />p~ --e <br /> <br />COMPANY fl..!", I<,e H-1 Pla'!- <br />c- State Cert. or Regist.' C f'C.O')..,O~4'2- <br />//;? City License Registration' l L.j Cf ,I ? 9 <br />****************************************** <br /> <br />/ <br /> <br />PLUMBER <br /> <br />MECHAlfI.CAL COMPANY /)c e. f}/c.. 4 i"le c - <br />Q l. I 11 fl' tIJ State Cert. or Regist. f c:: 4 co J 9?s:r <br />Signature .fi~ /J. ,(3~-?~a....City License Registration' H ~ '3 I::/- S- ~ <br />****************************************** <br /> <br />OTRRR yt!,/' COMPANY~;/ ~ / C;''''1<;'/;/// / .),:7 ;::: I',>,C)~~ h, <br />State Cert. or Regist. . ~ <./)C; /)}: 77/9 <br />Signature City License Registration f 'S. 3 '7 <br />****************************************** <br /> <br /> <br />APPLICATION-APPROVED BY PERMIT OFFICER. <br />