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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />./' / J ?r:-- <br />()I'< rlaL,.,-! r-/ "5 -.-~ -) . <br />''-LiD <br />1'1 ' <br /> <br />OWNER'S NAKE 5~~ M:<.- J-L LL 8<..t... c... Do( r- ~ <br />OWNER'S ADDRESS 2507 f< I.t ~Tl C- OA~s. "D1l. ( v<: <br />.?ll/~~ <br /> <br />PHONE <br />LL.{/2- <br /> <br />?~ d--d7r-3 <br />Fe 33 JY9 <br /> <br />JOB ADDRESS <br /> <br />OLD M.ILk LArJE <br />'34 <br /> <br />/)... - Zt"o - cr 1- C/ '1- '/6..- ~t{ <br /> <br />- hpA'1,.,h l" \ <br />SUBDIVISION 5-c M moE'..- <br /> <br />H,/I <br /> <br />LEGAL DESCRIPTION: I.OT(S) <br /> <br />BLOCK <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: X.Single Faaily <br /> <br />_KIF _, of Units _K/H <br /> <br />_~ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: A!eJ ;,t~E ~rl57ru c.....-r/~ <br /> <br />BUILDING SIZE: L/t.I ~t /25lJ Square Feet, Al IF Height S;",,/I~ Sn/7 <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />$ <br /> <br />g, ~- -- <br /> <br />Valuation of Total Construction <br /> <br />.../ <br />_ELECTRICAL <br />..,/ <br />-'lEClWfI.CAL <br /> <br />/0 AMP Service / Florida Power Corp. <br />~ <br />Z btJO . Valuation of Kechanical Installation <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />- <br /> <br />--=:.PiUHBING . GAS ~ ROOFING <br />TYPE OF GONSTRUGTION: .....K.-Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: t 03 Fl'. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY 5:;mnt-l'r /./// <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />NA-2:rIN ~ lee ~, e.- <br />State Cert. or Regist. # <br />City License Registration' Cf7 <br />****************************************** <br /> <br />8&tN ~;J /N'c. <br />~o /67/7 <br />1579 <br /> <br />/ <br /> <br />BUILDER <br /> <br />RT.RGTRIC~..-\,---,-) .... :.:\. .___._.... <br />SillllAture ---'-" ... =?J"~;-'-'" -4-\; <br /> <br />COMPANY <br /> <br />/' <br /> <br />PLUHBER <br /> <br />COMPANY_~MON nl\"C-lL<- P~j,N 3- <br />State Cert. or Regist. , <br />~ ~ City License Registration' ~'37 <br />****************************************** <br /> <br />/ <br /> <br />Signature <br /> <br />MECHANICAL COMPANY 5~W <C-{~CTll"'L'--- ~ <br />14 '") 7f-- State Cert. or Regist. , <br />Signature ~ '- City License Registration' I L/--S'J- <br />****************************************** <br /> <br />OTRF.R~ COMPANY f1-e.~ l,e..r-- Ro ~,,v &- <br />I J~ State Cert. or Regist. , <br />Sigoature IlL City License Registration . ~ II <br />****************************************** <br /> <br />APPLICATION APPROVED BY r;,;( M1' ct- m tJ-O; 1A ~ PERIIIT OFFICER. <br />