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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILIS <br />BUILDING DEPARTMENT <br /> <br />, ~ <br /> <br />OWNER'S NAKE OrtCI./VYl::- /J/oSSDfl'1 ~A-t"/ C-;~dG PHONE 7?'?- Ot::?o 7 <br />" <br /> <br />OWNER'S ADDRESS 71'60 7- t,'~1? 9- C/.5-~..>- Ys-.:/7 j]A1n'DP1 /J/f../L'f X,,;/'#' a '3.:>..><;// <br /> <br />JOB ADDRESS <br /> <br />>?l/l?~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration -L.Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Fallily <br /> <br />-L.M/F <br /> <br />_, of Units _M/H <br /> <br />_CoB.ercial <br /> <br />_Indust. <br /> <br />_Swiat Pool _Other <br /> <br />_Restaurant &: Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />,s~oo 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 /> <br />$ ..s~ c-.sO (!fO <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />'0 ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FDlISHED 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 />BUTT.DER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />RT.RCTRIClAN COMPANY <br />State Cert. or Regist. . <br />SiQDAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />*********************************** <br /> <br />OTRRR COMPANY ~e /~ /co~? JD~"'I/ C ~ r;> /'/ <br />State Cert. or Regist. f #c t:?t?x 5'5'/..>'" <br />Signature City License Registration f g:- 3'0 <br />****************************************** <br /> <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />