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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />---;---r <br />OWNER · S NAKE M .... 1< E~ I 1+-'1 Lf) i2.. <br />~ ~ <br />OWNER' S ADDRESS 5 2.. 2.0 I YJ .:s. (~T <br /> <br />JOB ADDRESS Sv 0 I r"J~ ~1eLiJ Z -e p iJ. L( ~ Ii- h1.S <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1. D. f II - Lie.. - z" - 00 1-0.. l<=t 70 0 - D lq 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: /New Construction _Addition ~teration _Repair _Install <br /> <br />PROPOSED USE: <br /> <br />_Sign <br />~ GA-Il.t4Jj 6- <br />~Single Fallily <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />----lI1 F <br /> <br />_' of Units <br /> <br />_M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: ZLl' X '32-' X f?' J-l.t 6-~ ~tJCI2!i1E:. l{ut.l~ GIJIlM:rE <br /> <br />BUILDING SIZE: ~x 32-', ~ t (?fe.8 ~quare Feet, ~ Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />/ <br />_BUILDING <br /> <br />$ 2.0)080 <br /> <br />Valuation of Total Construction <br /> <br />~ELEC'fRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br />/" Block <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fralle _Steel <br /> <br />Other <br /> <br />FIlU.SHED FLOOR ELEVATIONS: <br /> <br />F1' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY CwAlt#6.-II-Ji-L/ 6>1J~dzat. <br />State Cert. or Regist. f <br />City License Registration f <br />......................................... <br /> <br />Signatur <br /> <br />F.T .RCTRICIAH <br /> <br />SianAture <br /> <br />/~ <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />.......................................... <br /> <br />PLUHBER <br /> <br />Signature <br /> <br />,'{ <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />.......................................... <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />^ <br /> <br />, <br /> <br />COMPANY <br />State Cert. or Regist. * <br />City License Registration f <br />.......................................... <br /> <br />OTRRR <br /> <br />f <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />.........................................* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />