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<br />APPLICATION FOR PERKIT <br />C lTY OF ZEPHYRlIlLLS <br />BUILDING DEPARTMENT <br /> <br />OWNF,R'S NAME A~TH UR. <br />OWNER'S ADDRESS '1 ~ 4 3 <br /> <br />A 1\.\ n .s AND ~ A. LJ I N (;. PIIONE 9. \ 3 <br />As H \-J\~o t) R. Z e- P11l..( R.J H I ,-~5 <br /> <br />'1 <ld-.-<aL.\ 3 I <br /> <br />.JOB ADDRESS <br /> <br />SAml. <br /> <br />I.EGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEl. 1.0. t <br /> <br />~5 ,~5' ,2,\ 0050 <br /> <br />00000 <br /> <br />o;t-q 0 (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -^ddition -^lteration _Repair _Install <br /> <br />_Sign <br /> <br />-"ove <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />-"IF <br /> <br />_, of Units ____M/H <br /> <br />____C~ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _0 t.he r <br /> <br />_Restaurant &: Health Department Approval <br /> <br />UESGRIPTION OF WORK: <br /> <br />BUI J.JHNG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESlDENTIAL: <br />COHMRRCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUlI,DING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~EI.EL'TRIGAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_--" F,('1IAN ICAL <br /> <br />$ <br /> <br />Valuation of tlechanical Installation <br /> <br />~PUJtlBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPF. OF CONSTRUGTION: _Block _FraMe _Steel <br /> <br />Other <br /> <br />PINISIIED ,FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEL"T IN FLOOD ZONE AREA 1 <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />JUttWlm - COMPANY E7ff!::Jrl~...'fJF';""'L/ <br />//p J 0 'J ,J ~. /, State Cert. or Regist. , <br />Signature V ~ f/(/. VV~ City License Registration I <br />............ ............................. <br /> <br />~LEL.RlCLAN COMPANY <br />State Cert. or Regist. , <br />~U1Ul8.luce City License Registration I <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration' <br />.......................................... <br /> <br />tlEGlIANIGAL COMPANY <br />State Gert. or Regist. , <br />Signature City License Registration' <br />.......................................... <br /> <br />mllER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration I <br />....................................*..... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />