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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER · S NAME R ALP t{ T, tr c. E /? r R.. Vt /) E MEA P PHONE? '? 2. - 1 'I ? ? <br />OWNER'S ADDRESS 7 J... 3 s- A 5 H tAN j) /J I<. j Z E 1> !/y" H / t.. t.. 5 I T L 3 '3 S $< (J <br />, / <br /> <br />JOB ADDRESS /.8 S- A 5 fI LAN j) JJ I?. 2 E f7 fI Y !<. H 1(.. t... 5 , F L 3 3 S ~ C> <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL LD.' ,'3.5" 2.. S- Z / 005- () <br /> <br />BLOCK SUBDIVISION <br />o 00 0 0 02.. 8 () (OBTAIN FROfl PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~dition --^lteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_De.olish <br /> <br />PROPOSED USE: ~ingle F~ily <br /> <br />_"'F <br /> <br />_, of Units _M/H <br /> <br />_C~ercial <br /> <br />_lndust. <br /> <br />_Swi.. Pool ___Other <br /> <br />_Restaurant & Health Deparbaent Approval <br /> <br />DESCRIPTION OF WORK: 8 t1 / t. j) A L VI M I N 11. /VI.. tA r / L ( r Y 5' /-t F P (J N ex / 5 T /IY C- P t4 T ( 0 <br />BUILDING SIZE: 6' X ;,.5. '1-5" Square Feet. 7,s- Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R,E.C. <br /> <br />-"ECIlANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRU(''TION: _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 .. <br /> <br />~. <br />Signature ;t. <br /> <br />COMPANY <br />State Cert. or Regist. . <br />.~ City License Registration . <br />*.********....*....*..**.*****.**..**....* <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />****.***.*.......*.*.*.***.*****.....*...* <br /> <br />SillnAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.****.***..*..*.****...*******.***.......* <br /> <br />Signature <br /> <br />KECBABICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />*****.*..*.***.**...**.********....*.....* <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />***********.***********.***********.**.*.* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />