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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />"PK P iP 0" crU' <br /> <br />OWNER'S NAME I!J;;/d tv.en-yv- PHONE l~1-1097S- <br />'1/10] 1v/.,4#L ~~",i/~ / IK :?J('f"Q <br />JOB ADDRESS ~z.-s'"2..- JJ~~~ ~~ I ?~4!t/Pfh / 14 ~jSrl <br />LEGAL DESCRIPTION: LOT(S) / J B BLOCK SUBDIVISION >/lv~ ~ <br />PARCEL I.D.' 03-1,(P-Z/-fJIZ1,) - OOoUO -11'00 (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction _Addition _Alteration _Repair _Install <br /> <br />OWNER'S ADDRESS <br /> <br />_Sign <br /> <br />PROPOSED USE: ~Single Faaily <br /> <br />_ec:-ercial <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />_KIF _' of Units _K/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent, ~pproval <br />DESCRIPTION OF WORK: ~;j.;51- ~~7 tv.>f- ~ <br />BUILDING SIZE: ~ X 50, ~/'ii Square Feet, gl ,/Ju!i~t <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 REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />X-BUILDING <br /> <br />)( ELECTRICAL <br /> <br />-kJmCllAlllCAL <br />~PLUMB~NG ' <br /> <br />- <br />1~/).x> <br />/~ <br />Zf47)j) - <br /> <br />Valuation of Total Construction <br />AKP Service X Florida Power Corp. <br /> <br />$ <br /> <br />$ <br /> <br />PERMITS REOUESTED <br /> <br />W.R.E.C. <br /> <br />Valuation of Kechanical Installation <br />X ROOFING SPECIALTY <br /> <br />GAS <br />TYPE OF CONSTRUCTION: ~BIOCk <br />FINISHED FLOOR ELEVATIONS: ~I <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />F1' . <br /> <br />~ <br />NO <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY Ill) IL (~~J,1i.... <br /> <br />State Cert. or Regist.' C/l-C 05"~~ I <br />City License Registration . ~~ <br />****************************************** <br /> <br />~ ~ ~ WfPANY <br />State Cert. or Regist. , <br />e~ ~ City License Registration . <br />****************************************** <br /> <br />COMPANY ~g../Wf a..-/-) <br />State Cert. or Regist.' C,FC. ~'1 Z-I},B-o <br />City License Registration t 'I <br />***************************************** <br /> <br />Signature <br /> <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />~~ <br /> <br /> <br />IIR Oi:Jh-w, \OIl <br /> <br />COMPANY s;c...tt1 'j /J,~j <br />State Cert. or Regist. t <br />City License Registration . <br />************************************** <br /> <br />Signature <br /> <br />t:/w~ <br />gcD~ <br />206 <br /> <br />COMPANY /1--/ Jl-ft.,.\ I;t:.... <br />State Cert. or Regist: # <br />City License Registration , <br />****************************************** <br /> <br />OTRF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />R.,C b() t. J "U' <br />M <br /> <br />PERKIT OFFICER. <br />