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<br />APPLlCATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />A:i!-~~~~~ <br />~ \J <br /> <br />OWNER'S NAKE l'r;<;~. S SEs1A~ PHONE 9/37~7~~.y,9b' <br />OWNER'S ADDRES~?Ot.:, J:J<9d G- #~/Y RIJ 2.~/>/; Y k'A )//~ ,/LA7-; ---5-3-.:5Yo <br />JOB ADDRESS .~816 ~ LJ/J. t( & 11~ Y .R.n Z2f11. )?f/l///S /:L4" _llS"--}/o <br />LEGAL DESCRIPl'ION: LOT(S) 2 9 BLOCK SUBDIVISIONC;U Af,M r tJ9.kf s:"t.tU <br />--- <br />PARCEL I.D.,1S-- ,;2S--'1. / -DOlt) -/~.c{)OIJOc:J(] (OBTAIN FROK PROPERTY TAX NOTICE) <br />, <br /> <br />WORK PROPOSED :_New Construction ~Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: LSingle Faaily <br /> <br />_KIF _' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swim. Pool _Other <br /> <br />J. <br /> <br />_Restaurant & Health Deparbaent Approval <br />DESCRIPTION OF WORK: 'tif:.12 044 .--POO.N? <br />BUILDING SIZE: /6 X 'J:;'" ~ Square Feet, ? ..,,'? ~e~r <br />, <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQlJ.lRED FOR ALL NEW CONSTRUCTION. <br /> <br />hUILDING <br />0LECTRICAL <br /> <br />PERMITS REOUESTED <br /> <br />'1)0 <br />,$ cf(, 000 r_ Valuation of Total Construction <br /> <br />AKP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlfICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FI.RISBED FLOOR ELEVATIONS: <br /> <br />F'f . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br />"""! <br /> <br />YES <br /> <br />NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />g~d <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />**** *** ********************************* <br /> <br />~~ ' "~I ~ ~ COIIPARY @ bry1..A / <br />'~ . I J State Cert. or Regist. . <br />e , ~~~~ City License Registration' <br />~. ****************************************** <br />, <br /> <br />Signature <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />KEGBANlCAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration f <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />