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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE .~ be-rT Cf'- G-o (J oe--I....-L <br /> <br />OWNER'S ADDRESS .3931 ~ J~~ ~ A Vc- <br /> <br />JOB ADDRESS ~ <br /> <br />LEGAL DESCRl~~,!~~O!TI ~'~ ~ .i'or- tUJCK .;).. <br />PARCEL 1.D.' O. f?-, I ts.8 c/ PG- 08' 7 & fJ--\\T \\o,k: b' <br /> <br />PHONE ~/3 7/ ~ 19{ ~ <br /> <br />SUBDIVISION 2-~p Ii '/ R <br /> <br />H j;;.1 <!rH T.s <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ----^lteration ____Repair ____Install <br /> <br />____Sign <br /> <br />--"ove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: -It-S ingle F8IIily <br /> <br />--,,'F <br /> <br />____' of Units --"/H <br /> <br />____~ercial <br /> <br />____Indus t. <br /> <br />____Swim. Pool ___Other <br /> <br />~estaurant & Health Department Approval <br /> <br />, ~~!L.~.AJ <br />DESCRIPTION OF WORK: '~ <br />BUILDING SIZE: ? X/O, ~o <br /> <br />~ <br /> <br />Square Feet, <br /> <br />'7 <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS REOUESTED <br /> <br />V;UILDING <br /> <br />$ I, / trD . en;> <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 />--"ECllANlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Fraae ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREAY <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUIWER <br /> <br />COMPANY <br />rfl.~ J. ~ State Cert. or Regist. · <br />A"'/. City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />SiROAture <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />ELECTRlCIAR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />