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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPAR'llIENT <br /> <br />OWNER'S twm J tt>><: 1 w \ ( b e.~ <br />OWNER I S ADDRESS ..3.1 ~ Y; tf & Ave r <br />JOB ADDRESS7.-erl,.t. //.1' ~fF ~ {~/1 (~ <br />LEGAL DESCRIP'l'ION: LOT(S) BLOCK <br /> <br />PHONE .7 j> ;2.. - 07/ f" <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ---..Addition --..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---..Hove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: _S~eF_ily <br /> <br />---..HIF _' of Units --1IIH <br /> <br />_~ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIP'l'ION OF WORK: ~~'J.~ _ ':;;~:J Pof2cIJ- <br /> <br />BUILDING SIZE: /2 X ~. ~dl.:> Square Feet. Jr Height <br /> <br />RESIDEIJTIAL: ArrACK (2) PlOT PLABS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: ArrACK (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDING <br /> <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 />--1IECIIAlIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-PLUHBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnONS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BlITlJ)ER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />mHPAR<;'~ fv/~S <br />State Cert. Qr Regist. . <br />City License Registration' / C;..:z. 7 <br />.......................................... <br /> <br />RT.RCTRICIAB COMPANY <br />State Cert. or Regist. . <br />Sian~ture City License Registration . <br />.......................................... <br /> <br />PLDHBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />IlECllANIGAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERMIT OFFICER. <br />