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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAKE S D? H f E- t::Lc Ut:~ <br />OWNER'SADDRESS bl 30 J-,A~~sT <br />JOB ADDRESS Co ( '3 Q h A (<.. \< S T <br /> <br />PHONE <J' ["3' - 7R 8 ~ f"~7 8. <br /> <br />2-{'-{ ( (Ls <br />ZE:: My f2~; l(s, <br /> <br />LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION 0 A- ~ ~, \ d.E ,'V\ o6{ I f:- P" 2- r.. <br />PARCEL I.D.' OJ, J-4> ()... r 00;;..0 D 0300 D 0\ U (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~lteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _H/F _' of Units -LM/H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant it Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />'Re:-plr'tc.€: 1{-~~TuJ,J t CouL,~ Pf\-C:..~1'f-3~ (A.l""K. <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 it (2) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />-.M...MEGllARIGAI. <br /> <br />$ /5"7S/~ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDiISHED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SiRllature <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />................................... <br /> <br />Signature <br /> <br /> <br />COMPANY ColE- '-7 A-fc f f.(t?'4~~1 . <br />State Cert. or Regist. f C ~~o 4.2...(,(" 7 <br />City License Registration f ~D <br />...........~.............................. <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />