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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S HAIIE-'- 5D~n H n tDS~ ctk: P80NJL~~~ -y~to~ <br />OWNER'SADD~~ &(ftt~oJ_ D.; VE:, <br />JOB ADDRESS P fr'errLuD Dr) V~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION S, \ Ver Dctk.~ <br />PARCEL I.D..D't-- ;2lR- (2\ -oo~- ODDCX)-0090 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />- <br /> <br />fJ ) 1,9';;-' <br />l~tM jr? <br /> <br />WORK PROPOSED:_New Construction ~Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />_Res tauran,t, & Health )!~partment Approval <br />DESCRIPTION OF WORK: CtclcUlIC( ::::::)(~./l.Q...c.Jl (U)(0{Y) '~ <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />fu rr~ ~nGtill <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 />_BUILDING <br /> <br />$3q 3a. ~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECBAlfICAL <br /> <br />$ <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 ELEVAnONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />~NTRA.:::~1d Con ~-~ <br /> <br />State Cert. or Regist. t <br />Si . ty License Registration . .~?x 0 <br />.... ....................... <br /> <br /> <br />F.T.RCTRICIAN COMPANY <br />State Cert. or Regist. # <br />SignAture City License Registration f <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.......................................... <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />