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<br /> <br />. . ' .ft. <br />~ ~l~J <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />~ljf,/ .. <br />(C;~d--11~ ~uiL <br />/3-02~ <br /> <br />JOB ADDRESS <br /> <br />27~/9 <br /> <br />(!If at d-:l'fftdtt;6 <br />l)l"J'~:' G?.I , <br /> <br />BLOCK <br /> <br />PHONE <br /> <br />OWNER' S NAME <br /> <br />OWNER' S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D.' J - :; b - ;) )- <br /> <br />SUBDIVISION <br /> <br />DOlO -IOADO-OOIO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction ~Addition _Alteration _Repair _Install <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: _Single Faaily _H/F _' of Units _HIH <br /> _eo..ercial _Indust. _Swill. Pool ~Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: l\Jd<Tt0 1V.3 12" fj"E'''Obrc ILoO'lll. )ra'.fVe76..,d_ / ~"IVJJ' <br />_ f I <br />BUILDING SIZE: (32.. X qO. Square Feet, 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 REQ~D FOR ALL NEW CONSTRUCTION. <br /> <br />jUII.DING <br />_ELECTRICAL <br />J! MECHANICAL <br />2PLUMBING <br /> <br />PERMITS REOUESTED <br /> <br />(IV <br />$ t-I f~ 00;0- Valuation of Total Construction <br /> <br />000 31 AlfP Service Florida Power Corp. <br />. <br />~ <br />III 000 <br />, <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />GAS <br />----.0lock <br /> <br />ROOFING <br />_Fraae -Lsteel <br /> <br />Other <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />FDfISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />..............................*.*****..*** <br /> <br />YES NO <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY ~~ fL Bf2.0CJLJA./ CoAl S'., 1/1/c. <br />State Cert. or Regist.' C 6" GiS oo~ ~l.{ <br />City License Registration' /7_q J (:) K V' <br />* .****..*****************.*....*******.** <br /> <br />Signature <br /> <br />::~12th <br /> <br />COMPANY~{VF~5J{>~d Fc'EC"'!?/L <br />C {f?~ State Gert. or Regist. t ej< <900oi};}. f <br />'. City License Registration f /7S..3.J <br />'* *.*.***~****.******.*....~************ <br /> <br />PLUMBER <br />Signature l/~JIL.,. ~ <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />***************************** <br />, <br /> <br /> <br />MECHANICAL <br /> <br />COMPANY A C D #c <br />State Cert. or Regist. <br />City License Registration , <br />*******.*...***.*********..*.**.*********. <br /> <br />-1 }j2J ' <br /> <br />/ 7 ~9' <br /> <br />Signature <br /> <br />OTRRR <br /> <br />.** <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration # <br />....******.*.**.***..**.******* . <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />. <br /> <br />PERMIT OFFICER. <br />