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<br />.. '. .. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTItENT <br /> <br />OWNER'S NAKE !\ f /) /VI {J ~7 II ( <br />OWNER'S ADDRESS 3 ?f h 0 J y~/; A v , <br />JOB ADDRESS J 7f r; 0 '7 yrt, A v _ 2 ~ ~ V r A" / / 7 ~ <br />*LEGAL DESCRIPTION: LOT(S) II 1 /2- BLOCK...Ld..S~DIVISION PB I ) P6 s+ <br />..JL.......ARCEL I. D. t 0- Zb - zf - Q() 10 - / fJL!{)() - oIL 0 (OBT-\lll FROH PBOPIlI\TY TAX NOTICEl <br />~ WORK PROPOSED:_New Construction _Addition UAlteration _Repair _Install <br /> <br />PHONE <br /> <br />,~>~) -6Lf~ Cf <br /> <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: LSingle Faaily _KIF _' of Units _K/H <br /> _ec:-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval -..J- <br />DESCBIPTION OP WOBK: I( e Ill', e 1/ ;./ (,? /} d ' 'i ; 0 /I ,'''J ~ ?: c ~ ,",o-z/ - <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDERTIAL: <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 />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />-1fMECllANICAI. <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />J--Jr; f{ 5 <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIORS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />...............*************************** <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 />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />SifllUlture <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />L. <br />~'--~ <br /> <br /> <br />r /) ( <br />COMPANY .t//--tOV'4/1 ;/ ~ <br />St te Cert. or Regist. * ~ <br />ty License Registration , <br />***********~*********.*..***..*..****.**** <br /> <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />....*.*...*******...******.*.*. <br /> <br />Signature <br /> <br />**. <br />/' <br />//" <br />APPLICATION APPROVED BY f ---~"., <br /> <br /> <br />"---..- ,,- <br /> <br />PERMIT OFFICER. <br />