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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />(l~,1~r!tiR · lo;/"ff <br />~ fPV <br />PHONE 11'6 - I 7 &;::t <br /> <br />OWNER'S NAKE u JRI rex (!'h-e,rr'-j <br />OWNER'S ADDRESS (P /11 Ag4 k 5/ <br />5AJ4f E' <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION !?A-K.S I i)e fl1 fr~ <br /> <br />PARCEL I.D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: _New Construction vAddition ~lteration _Repair _Install <br /> _Sign --1Iove _Deaolish <br />PROPOSED USE: dSingle Fallily _H/F _' of Units _H/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: AbD JcJ I' C-eme/1// <br /> <br />L! /OS e No tV/ll/s <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 />V BUILDING <br />V ELECTRICAL <br /> <br />_1 :A.A/\ o~ <br />$ ~GI'G/'-' Valuation of Total Construction. <br /> <br />AtIP Service Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlU.CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />~croR SECTI~ ) <br />BUII.DER COMPANY i!J?:n..1 fU17Jl.IA <br />2LJ~ ~ State Cert. or egist.' <br />Signature /' _ City License Registration" <br />********~******************************* <br /> <br />RT.RCTRICIAN COMPANY ~, f)..{'Lh1fAJ <br />L/'/~ ~ State Cert. or Regist. t <br />SiQflAture. City License Registration" <br />******* ~******************************* <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />