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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />OWNER'S N~~"\=r p.. - ~ ~ <br />OWNER'S ADDmiS 3'7 (0 % Y M b )+ UCHA) 00 C ( \j=> <br />JOB ADDRESS .S4vru yCf '::> yJ 10 0 Ve <br /> <br />PHONE ; -:t &.;). Of 3 ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.t--' 3,-- 'd-(],- <br /> <br />BLOCK SUBDIVISION <br />0;> to 0 <br />;) I - b J L/- <0 - CJO V riJ- (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -----Alteration ~epair _Install <br /> <br /> _Sign ____Move ____Deaolish <br />PROPOSED USE: _Single F8IIily _M/F _, of Units _H/H <br /> _eo..ercial ____Indust. ~S~ia. Pool ___Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF wORK:_fte/O\J<2- 0 Q..'b U 'l\J) ~D{) t , <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 FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <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 />____MECHANICAl. <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLtJHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ____Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />~T~ER ~ ~ ~ARY <br />. State Cert. or Regist. t <br />Sigoatuie- -.:~ City License Registration , <br />** ************************************ <br /> <br />RT.RCTRICIAN COMPANY <br />State Cert. or Regist. t <br />SiRnAture City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />***********~****************************** <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />