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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />LEGAL DESCRlPTION: LOT(S) <br /> <br />PHONE ~ tJ 7 - g;p 3 - SCf 7 J> <br /> <br />o 0 ~ <br />3'.:3S~7"o <br /> <br />V3yfr ~~ <br /> <br />PARCEL LD..l1-AiZ - ,:) 1- tJoto - O~::,?,oO -DO a", (OB1A1l11 fBOK PJlQPEBTY TAX NQTICEl <br /> <br />WORK PROPOSED:_New Construction Addition -----Alteration _Repair _Install <br /> <br /> <br />s-M A-l/c. L?yjr~~~/' <br /> <br />OWNER'S N <br /> <br />OWNER'S ADDRf'.C)S <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />v' <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units ----1l/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />7'/ I 'J ' ,A, .... <br />DESCRIPTION OF WORK: tA/~A!f:..,i-1f,t~J If'" CL~<<-7" <br /> <br /> <br />BUILDING SIZE: X Square Feet, <br /> <br />1/tJ 6'/~' 7:ij <br /> <br />Height <br /> <br />.r "/ ,/ v <br />'l,~ It~/ <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 />~UILDING <br /> <br />PERKITS REOUESTED <br /> <br />$ <br /> <br />50{). t/t:J <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECIIAIIlCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING GAS <br /> <br />ROOFING SPECIALTY <br />_p.-..e _Steel ,nR;U~ Other./ <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />FINISHED FLOOR ELEVATIONS: FT . <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />/',' '/ <br />Signature""'- . <br /> <br /> <br />CONTRACTOR SECTION , <br /> <br />o COItPANY7?1. If 7'~~'-E ./It<<., <br /> <br />State Cert. or Regist. , ~ (7 0 ?l7s-CJ/ <br />~~City License Registration' /~J' <br />* **************************************** <br /> <br />RIJTI.DER <br /> <br />SionAture <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />F.I.ECTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />KECHAHICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />***************************************.** <br /> <br />OTRF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />