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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br /><WP ~U '~~{2J(~ <br />IjP (p $,5 <br /> <br />OWNER' S NAME <i< I) 55 13 1- L rv\. <B Ro w ,,( <br />OWNER'S ADDRESS S::< 35 ti ~ G:. E L tQ co () ~T <br />JOB ADDRESS 4-., b~ 5 I L VEl( (':-, R c C.l~. 2'_ ' HILL S <br />) <br />SUBDIVISION C \i l4 L Fa t--.li <br /> <br />PHONE "-;-;8 c) - I "'"6 '2- C{- <br />z.. 'H ILL S F L 3:3 5' Lf- ( <br /> <br />(=L 33S-y- \ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />VILLH<;.. <br /> <br />PARCEL I.D.t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSBD:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: LSingle F~ily <br /> <br />____H/F _, of Units ____H/H <br /> <br />____eo..ercial <br /> <br />____Indust. ____Swia. Pool ___Other <br /> <br />Restaurant & Health Department Approval <br />DESCRIPTION OP WORK, .~ ~ m...d.o..l U VJ~iI-42 . <br /> <br />I I , <br /> <br />BUILDING SIZE: :2 q X ~~'b2 /2 b b Square Feet. is Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~BUILDING <br />~LEC'TRICAL <br />J MECHANICAL <br />L'PLtJHBING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />100 <br /> <br />Valuation of Total Construction <br /> <br />AKP Service <br /> <br />,/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: LBloclt ____Fralle ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? \/ <br />YES NO <br /> <br />****************************************** <br /> <br />- /- <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />C) <br />/1IL~~~ tl 6)1, ~ \.-t'l. L-~ <br /> <br />COMPANY ~ ,L <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN <br />SiROature ~ I I)}) {2 tt <br /> <br />COMPANY ex lJ SS ELL M (-:?, 12. () U) ,,-1 <br />~ State Cert. or Regist. , RI1 (':,(\1 0 ,,:;i~, <br />~J 1: vOLL~ City License Registration' \c? , ~9 <br />****************************************** <br /> <br />PLUMBER <br /> <br />~ COMPANY 'XU<::;'SGLL }'rl. t~Rvw/---l <br />State Cert. or Regist., C\=" (~.C:: ::-;<1 q c~ t. <br />' fY\. ~ }o~ City License Registration , In 7 J..l1 <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICA~ <br /> <br />QIYldL <br /> <br />COMPANY c;< U c;<; EL l 1\/\'1'2> R (, l \.) Id <br />tV\ S; State Cert. or Regist. f C- tlco 4-1 2.54- <br />n I., ~~ City License Registration' -7 --, ,if(' <br />***********~****************************** <br /> <br />Signature <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />