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<br />APPLICATION fOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />i. i);j> '. <br /> <br />Oil ~(Ori-go /9(; <br />\J \ 5/~ <br />PHONE 9'91-?366 <br /> <br />OWNER' S RAKE ~V <br />OWNER'S ADDRESS <br /> <br />(///~e <br />(/ <br /> <br />JOB ADDRESS LeT' 5;)" <br /> <br /> <br />sre,oh elt/S <br /> <br />~~~ . <br />LEGAL DESCRIPTION: LOT{S) sC;; BLOCK ~ S IVISION. _<;/L v'&,e OAeS <br />PARCEL I.D.' :r-~t. -~/ _. 0/60 - ~~S:;2.() (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:)( New Construction ~ddition -...Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: .xSingle Fallily <br /> <br />---KIF _' of Units ---K/H <br /> <br />_<=<-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />F./JnJ ~''-y Res <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS it (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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 1?S ooC7 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />~ AMP Service X Florida Power Corp. <br />$ .:560 (j Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />--1IEGllARICAL <br /> <br />_PLUtlBING <br /> <br />GAS <br /> <br />tiLe <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.............*********.******************* <br /> <br />CONTRACTOR SECTION <br /> <br />Run.nER COMPANY /L <br />:L) # If# State Cert. or Regis . , C ~C <br />Signature ~1 LA. City License Registration , <br />* ************************************** <br /> <br />RT.RGTRICIAN COMPANY S-f".s ELecrR/G <br />n . d ~ / State Cert. or Regist. f O~2...... <br />SionAture L(/(1,I.ft'!' ~ City License Registration' 30CJ <br />***************************..************* <br /> <br />PLUMBER \. COMPANY #AR/YJo"'! "TARe 1!et/2 <br />'. Ill/) )..~ State Cert. or Regist. , O/a..6.:S:.. <br />Si~ture lLIf:ttllW\1} ,.1 ~ City License Registration' /:i/) <br />V ** *************************************** ' <br /> <br /> <br />ME~IGAL COMPANY A...~.. C. All? CO/JIJlvo#/#q <br />. r-J. n () S} J State Cert. or Regist. , CC ("'C>5~07gal::::> v <br />Signature --bfb..lWI J"" ~ ~ / City License Registration' ~ '/3' <br />*********.**************..**.************* <br /> <br />4::::~~ <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />......~........._..................... .. -;:,;;.;.;;.;:;':'- I <br /> <br />~ D~RI' 9ifFI8BR. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br />