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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE HE,.. ,l~.. - Y.. L T ~ <br />OWNER'S ADDRESS f1..J 7) 5pFi p (.. E~ iJ I' .. J r,;. <br />JOB ADDRESS ~/l /0 S- PJ/iR,tB7 S9 C-i,4I'2..F <br /> <br />PHONE t.t tl , ..y) '2> -8 7 )0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' , (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />~erCial <br /> <br />_H/F _' of Units _M/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />" i> New ""'-V7~ Il.'.:;e k/;.u.s If..vp 8147/1l2ooJ*5 J. <br /> <br /> <br />A~ kJc,e..e <br /> <br />BUILDING SIZE:63'3" x:J'1. 'I", .;loco 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 />$ .3/f; ?yo <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 />_MECllAllICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION: _Block ~aae _Steel IHtfTI'tL 57"''' S Other <br /> <br />FIllISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUTI.DER COMPANY ApolA.'w g,,lpt:e $ / <br />State Cert. or Regist. t Cc:;..c: c~739 7 V <br />Si~ture /77~ ~ - City License Registration , / t. 7/ <br />****************************************** <br /> <br />Rf.RCTRICIAN .A . <br />II ~. <br />l r: ,4/ <br /> <br /> <br /> <br />COMPANY lEe 1/7/ 'c <br />State Cert. or Regist. # C II () <br />City License Registration * <br />****************************************** <br /> <br /> <br />V-' <br /> <br />PLUMBER <br /> <br /> <br />.r/~.1" -. COMPANYf/1I1fjJ Nlft(r'l~; 1~(kb/'oe1 1* ~' <br />I ' State Cert. r Regist." ? Fe 0.::1..2 ~ ~ '/ <br />City License Registratio~ 2.,i)'-tJ ') <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br />sigoatureiPl.'ty (1) <br /> <br />COMPANY ~l-ll V t,z. ~ (R 0 { 6liUJ t()AJ I ::t::.1J L-- . <br />, State Cert. or Regist. ## C.1iC--Of}ficfd:3 V <br />~'A.A.O~ City License Registration' /C? ~ <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />