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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ~V\ /Y1c... \~Y\ <br />OWNER'S ADDRESS (g f S{ Q I-.QCtSGlI\ J S I <br />JOB ADDRESS 6orJ^R- <br /> <br />PHONE 7 ~2 -l2--g b <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.' Z -2(; ~ Z (-002..0 ,~t)o:Soo- 0:)1 0 <br /> <br />SUBDIVISION OA- K.st;l~ <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---Alteration .!1-.-Repair _Install <br /> _Sign ---1Iove _Deaolish <br />PROPOSED USE: _Single Faaily ~M/F _' of Units _M/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK:)+l V-.M I ~ 1A..VV\ eCJO\=--oUCCA- m tl17lsl t1-v(r\JL- <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 />_ELECTRICAL <br /> <br />$ J 7CO <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECllAlfICAL <br /> <br />$ <br /> <br />Valuation of flechanical 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 />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*.********.*.*****.*********.****.**..***. <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANYA..d vbrV1~ tlt()b/leJ,~ f''t~J v' <br />_____~ State Cert. or Regist. . L..6-C 0 3 ~ ~ , '1 <br />Signature.~~'- r I City License Registration . J 2.z:. <br />.*********...**.*....***********.*.*.*.*** <br /> <br />F.T.RCTRICIAN COMPANY <br />State Cert. or Regist. f <br />SiDnAture City License Registration . <br />*.***********.*.**.**.************..*....* <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />********.***...****.*******.****..*......* <br /> <br />tlECBABICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />**************..**..**.*********.*.....*.* <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />**************.*********.*****.*.***...*.* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />