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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE Kns~ S A-r-Jcf-(EC <br />OWNER'S ADDRESS 0 &3 is' ~O)(fJ1CX?rL <br />Co0~ & tDXMCOr2-. <br />LEGAL DESCRIPTION: I.OT(S) ~2.. BLOCK - SUBDIVISION $k--( I10k PI! / <br />PARCEL 1.D.' () 3-20-2-/ - 0(20 -tJDCco --O(pZO (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~ew Construction _Addition _Alteration _Repair _Install <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_, of Units <br /> <br />_M/H <br />v-6~her ~ <br />-~'eo~ <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swbl. Pool <br /> <br />_Restaurant & Health Departaent APpro:a,; /J /} <br />DESCRIPTION OF WIlK, ~~ uJl ~AOO~~ <br />BUILDING SIZE: 8 X 2Cf. 2.00 Square Feet. C(Zlf Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ (3 C;~-. cri) <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS 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 />CONTRActOR SEctION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />RT .RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Siaru-ture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />0TRI<Il COIIPARY /);scou-JI /J1vmt!f}f;df7:,~y' 7AJ,---- <br />~~,. J J/_;1) /! '" State Cert. or Regist. # _--9 ~ ~ <br />Signaturel"'"t ~ fl..:ktj/l~~ City License Registration t '7 ~c;;; <br />****************************************** ' <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />