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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME 0{ U SSE L LJY) . ~ <Ro W t--...l PHONE '( 80 -,-8:J 4- <br />OWNER'S ADDRESS 5? 2 ~ L; A l\1 r;. E L \4 C.OlJ '\L T Z' \-\\l L ~ F L ~ "sL;: 'f- t <br />JOBADDRESS~\5S 5ILVl~(( C-1RCLF,Z\\-\\LL~ FL3s~Lf-\ <br />LEGAL DESCRIPTION: LOT(S) BLOC1L--SOBDIVISIO~ ~}.. Fe NT V {LL ~.s: <br />PARCEL I. D.' / S ..... - ;).b - dJ - J ~3 b- 33 +....3 Y' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~ew Construction ---^ddition ---.ft].teration -Repair _Install <br /> <br />(}r<f ~~vftq,~I)-7Y <br /> <br />_Sign <br /> <br />---1k>ve <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ing1e Faaily <br /> <br />---..Jf./F _, of Units _M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: J+?., ~ 0 QOC) M \-\ 0 l) ~ e <br />I I 0/ L <br />BUILDING SIZE: 64- X 1+4, 2'21 {..... Square Feet, 0 Height cVC K,}4 vcS <br /> <br />RESIDEIITL\L: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ArlACII (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDING <br />v/ELECTRICAL <br />~CHARlCAL <br />~~~G <br /> <br />$ <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 CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDISHED FLOOR ELEVAfiONS: <br /> <br />F'l' . <br /> <br />IS PROJEct' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BIJTI.DER <br /> <br />CONTRACTOR SECTION <br /> <br />Q ..:. . . oOO>~ <AL!SS6:Lt. JYL ~~I~N <br />II Y\I1 (I)' State Cert. or Regist. , C. G:: C I \ <br />H.l'>>~!0::: 1...!...l ~ .:.J.::2\it5U...v- City License Registration' 24-? <br />.......................................... <br /> <br />Signature <br /> <br />:::~]~ <br /> <br />COHPAJIY <:;:< U ~ <:, U"- ~ ~(.l A ~ <br />(:J State Cert. or Regist.' :::: ~ 0 0 - <br />M . 'D~ City License Registration' I b Z <br />.......................................... <br /> <br />PLUMBER Q COMPANY Cf).USS~LL M, ~Row N <br />It N\A l:J State Cert. or Regist.' C Fcn 301 qq t.. <br />Signature lLM~ ~ City License Registration' J 0" <br />.......................................... <br /> <br />Signature <br /> <br />COMPANY ~ U SS ELL )\/'\, ~ Row N <br />0) ~ 'M ~ State Cert. or Regist.' Co ~<;-o 4-1 '25~ <br />I'~ . City License Registration, 7, <br />.......................................... <br /> <br />HECHANICAL <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />