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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />,/ <br /> <br />1'B \/ uV <br />II (). <br /> <br />OWNER'S NAKE ~ %,l~O ~J~ PHONE 99/'-'^;sbb <br />OWNER'S ADDRESS /'165/ :&nn.t:'.:L 15_ f1xA.-~ <br />~? ' <br />JOB ADDRESS J:;T d/ ,<)fA IvIMel( II/II Lffi~ <br />LEGAL DESCRIPTION: I.OT(S) (9-/ BLOCK SUBDIVISION 5i1Mll1e,e #/.(/ <br />PARCEL 1. D. f Jd --a b. C). 1- 0;06 - CJOc)cX:) - 0 a /0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:2s:...New Construction _Addition ~teration --.Jlepair _Install <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: 'y"Single Faaily <br /> <br />--1I/F <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />, <br />DESCRIPTION OF WORK: 5irJ4Lt" F/Jm/L.v <br />v I <br /> <br />.&.JJ., <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 />$ Sq,QOD <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />ISO AMP Service <br />$ #d.?O 6 <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECllAlfICAL <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS s;:",~L~ ROOFING <br />TYPE OF CONSTRUC'l'ION: X Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'I' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAC'I'OR SEC'I'ION <br /> <br />BUTl.DER COMPANY ~ ~Ll~~ ~~ <br />~ 'State Cert. or Regis . . . _." c'i'/,;;i!?O <br />Signat MJP;:[ a ~ ./ City License Registration f /'/-5 <br />- -. ~ .........d~........................... , <br /> <br />RT.F.CTRICIAR COMPANY S-tS E L.eccR IC- <br />State Cert. or Regist. t 051..:'57 <br />City License Registration' ~?C)C) <br />****************************************** <br /> <br />Sianature <br /> <br />u~ ft~ <br /> <br />PLUMBER <br /> <br />COMPANY ~ -I- Lt:;./~ <br />/,L J /n J/ /:It. State Cert. or Regist. f IC> l:5 <br />iU t2.J ~~ City License Registration' /:$ ') <br />*V**************************************** <br /> <br />Signature <br /> <br />tmcBAIIICAL ~ COIlPAIIY A.,e c .4:.e r~ <br />. / State Cert. or Regist. . C f1(o~W1 <br />Signatur~ . City License Registration f .;;.. '13 <br />****************************************** <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f ,----- <br />City License Registration t <br />.................................................... . .~;';'~4. <br /> <br /> <br />t, <br /> <br />. .,"':'_;~"...~j,;.....-1 <br /> <br />,.......-- <br /> <br />,.,Jo.,....- <br /> <br />APPLICATION APPROVED ,. <br /> <br />L,_." <br /> <br />PERMIT OFFICER. <br />