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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />?1<r'3tJ:znJ <br /> <br />. . <br /> <br />OWNER'S NAKE PICCIIDIt..LY FISH & c.H/~ /f(c. PHONE 81.3- QQI-s863 <br /> <br />OWNER'S ADDRESS 6930 J h'JIICrNOLIIl ~HIISE CIRCLE. 7I1MPII. F'-. 336'1-7 <br />r ' <br /> <br />'Z'ephtLhUk, FL. . <br /> <br />JOB ADDRESS 725""', H wy 3D I , <br />LEGAL DESCRIPTION: LOT(S) 8 <br /> <br />BWCR <br /> <br />SUBDIVISION <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PARCEL I. D.' 3.-..5,- - 4~:2 ) <br /> <br />,,(,;f ??- <br /> <br />WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair ____Install <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____Single Family <br />~c~ercial <br /> <br />____M/F <br /> <br />____' of Units ~/H <br /> <br />____Indus t. <br /> <br />____Swim. Pool ___Other <br /> <br />____Restaurant &: Health Department Approval <br /> <br />DESCRIPTION OF WORK: ,NrERldR PA12,/71lWS <br />I" , t:J~ <br />BUILDING SIZE: 'L/-6 X 68 , 7C16 <br /> <br />-r'b BUlL./:) II 1<. TcHEN ItNb EATIIller- ,"If'>I!A <br />16 ' <br />Height <br /> <br />Square Feet, <br /> <br />RESIDENTIAL: ATTACH (2) PWT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH Ud'f SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />v"'BUILDING <br />~~"RICAL <br />'~~E~ <br /> <br />V PLUMBING <br /> <br />$ <br /> <br />Valuation of Total Construction <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 />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frlme ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />............********.****.***.************ <br /> <br />CONTRACTOR SECTION' <br /> <br />BUILDER . COMPANY DYNAMIC. J:NtrIN$GRIAlO; INr.t~If/I1TIOHIU_ <br />rrL-ttAQ..vf ~ State Cert. or Regist.' R81 O_"$.~ 77 V <br />~gnature ~ City License Registration' ~ __ <br />*..****..*****************.*..************ <br /> <br /> <br />::~=- ~ft.~ ~E::~~~~~~i:n :~~<;q5 v' <br /> <br />I *....***..*..***********..**...*********** <br /> <br /> <br />PLUMBER . COMPANY 1i."I~ /I ri:L ~,~,../ <br />~ / r' / State Cert. or Regist.' 6 Cj'q" <br />Signature ,:::;.Il?~~ (-I~/2.#-,>-------- City License Registration 4# /(0.3 <br />I ..*..**.********************.************* ' <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />**********.*******w****...***.***......*.* <br />'- <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.*.*******..***********.*******.******.*** <br /> <br />;fn~ Yl1 s-,.,.L PERIlIT OFFICER. <br />~... <br /> <br />DIIIBR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br />