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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILIS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S ADDRESS <br /> <br />CLIFf <br />,0 i).. If <br /> <br />50;tlf <br /> <br />c-PP'lcL. <br />/ '1-tJ.. U' <br /> <br />19~U, <br /> <br />PHONE 8)'3 -. 7 f3- 3'1 & 2.. <br /> <br />OWNER t S NAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. f <br /> <br />1/ - ;;J.. "-;;2 ( - 0 O( 0 ~ ( h 0 0 011 S' <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair 4-Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: -LSingle Faaily _KIF _' of Units _M/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: :r JJ~'1A-u.. ;I.J~ To c/ cO'...rh'4\ L Af r " f-k-A /.""'1 '5., ~7~ . <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 />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECIIAIilCAL <br /> <br />$ ~ 750' ~ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIORS: <br /> <br />FT. <br /> <br />IS PROJECT IR FLOOD ZORE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CORTRACTOR SECTION <br /> <br />Birr' JlER <br /> <br />Signature <br /> <br />COHPARY <br />State Cert. or Regist. f <br />City License Registration f <br />*********************************** <br /> <br /> <br />CO ANY <br />S te Cert. or Regist. f IV <;0 <br />ty License Registration . <br />*************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COHPARY <br />State Cert. or Regist. f <br />City License Registration f <br />*********************************** <br /> <br /> <br />COHPARY {!/;i/ ; .,If" ~ 1/61 ,i;:~ . <br />State Cert. or Regist. f C!.A D l.I2U"7. <br />City License Registration f ~tJ <br />***********~****************************** <br /> <br />omRR COHPARY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />