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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILIS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME ~.Io<.KJ7 g ~ PHONE <br />OWNER'S ADDRESS S- C:.~ / % H. 2., ~J1 F / I' <br />JOB ADDRESS .s: Il VV/ E <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />e>o:JD <br />PARCEL I. D.' I ~ - ~ b - ~ (- <9 0;).4 - (a. j 1 ~ b I 9 () o. (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction XAddition _Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _M/F _' of Units _H/H <br /> _<=<-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departllent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />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 />_BUILDING <br /> <br />$ ;1.000 ~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />IT . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BIJTI.DER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY At/It e (p lilt pyx s C 6>/I/?? /":{> uJc ~ <br />C'J.J () /' J /" .#4 ~ ~-A State Cert. or Regist. . f?R. oOS-?t;!c/9 <br />~~~--:~- City License Registration' 3bd.. <br />****************************************** <br /> <br />Signature <br /> <br />=z COHPAllYg.AMl'17 C(lAMd~u. <br /> <br />. State Cert. or Regist. * <br />~ / L~4 City License Registration . <br />~ {.. ****************************************** <br /> <br />IE" Le.eTkrcd Le1/</I. <br /> <br />~7:;l.. <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. * <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />