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<br />OWNER'S NAME A~v all &j e <br />OWNER'S ADDRESS /965/ Rtllce <br /> <br />~ <br />APPLICATION FOB. PERMIT l15 t: <br />CITY OF ZEPHYRInLLS C- <br />BUIIJ)ING DEPAR'l'IlEIIT 1~ ~V 1 ~? <br /> <br />ghJL/)e,e$' 3- PHONE g-/3- 991-1~tJ.( <br /> <br /> <br />.I.S- <br />Ct-flleNS T~II/L ~ ~ <br />~e? ~L <br />LEGAL DESCRIPTION: LOT(S) "79 ~SUBDIVISION S/Lv'e~ - OA~'S" <br />PARCEL LD.' .?-C;;b-oll - OlbQ-O~(j - 0190 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />JOB ADDRESS LoT <br /> <br /> <br />WORK PROPOSED: X New Construction _Addition -lUteration .--Repair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ Single Faaily <br /> <br />--1I/F _' of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: S,#,L..~ <br /> <br />F.A/W/L. Y <br /> <br />.Res <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ '5 <br />/50 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />x <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ ~/OO <br /> <br />Valuation of Mechanical Installation <br /> <br />~UMBING <br /> <br />GAS <br /> <br />51.~J~l t. ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COlfSTRUCl'ION: X Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................*..**...***.**.*.** <br /> <br />RUn.DER <br /> <br />CONTRAClOR SEClION <br /> <br />COMPANY ~~ v/~~e ~u/LL/eli <br />State Cert. or Regis . , CbCW;'C <br />a _ ~~ City License Registration , <<J~ 1'1~ <br />*. .*......************.......*.*.****** . <br /> <br />Signature PcPN?fi.'t <br /> <br /> <br />COMPANY S-rS EL-e<:!7"'R/C <br />State Cert. or Regist.' 5/39 <br />ity License Registration , ~~~ <br />****************..************ <br /> <br />F~ <br />3~O <br /> <br />RT.RCTRICIAR <br /> <br /> <br />Signature <br /> <br />COMPANY ~ ..,t~ r:~"'-- <br />State Cert. or Regist.' F ~S' <br />City License Registration , db /3J ., - <br />.*..*******.****.***.*.*********** <br /> <br />PLUMBER. <br /> <br />COMPANY A~R..J C /li/2 CO#t!J <br />State Cert. or Regist. I CAe Q3~~~~ <br />City License Registration , ~ .J:H. 2.? 3 <br />...**..**.**.**************..*.*********** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature C~ty License Registration , <br />.*.*****.*.**~*********..***.********** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />