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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />'(J ~ J/j;~ <br />J\ ~-'I{-4~ <br /> <br />OWNER'S NAKE C A<;'A~ fl. ,r'/'1e?pr-<.. <br /> <br />PHONE 8/3- 1 to -)0.17 <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS 5783 /51 ST 2<-PJ...y( t--li'LLs, A <br />LEGAL DESCRIPTION: LOT(S) "7 -.i-1 BLOCK 10 SUBDIVISION 2el#~/It'14 <br />, <br /> <br />PARCEL I. D.' /1- Jlt, - dJ - W/f?- c:> S"<<'O -(~O 7 C> (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install <br />_Sign --.JIove _Deaolish <br /> <br />PROPOSED USE: $SiDgle Faaily <br />_ec-ercial <br /> <br />_M/F _' of Units _M/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: 'tArL> )0 X PI S(!.r<...,,J fgr~h. <br /> <br />i,....) .\.0 <br /> <br />Li"l: <0q /fr<!'t <br />/ <br /> <br />BUILDING SIZE: let) X /1. /,,/0 Square Feet. /j <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />I ~ <br />(dg 06 - Valuation of Total Construction <br />AMP Service -f-FIOrida Power Corp. <br />Valuation of Mechanical Installation <br /> <br />W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />--'lEGllAlfI.CAL <br /> <br />$ <br /> <br />_PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: LBlock _Fraae _Steel <br /> <br />SPECIALTY <br />C), fA~{~ <br />~ i...)(lA. &.r-Jd~j Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECI' IN FLOOD ZONE AREA., <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br />1IlI1........~ QJIIPAIIY C-w-< - '" " <br />---- , <br />~ State Cert. or Regist. , <br />Signature , City License Registration , <br />.......................................... <br /> <br /> <br />::!~~ COMPANY 12+- t El~L..f-r;G~/ <br /> <br />~ _~ State Cert. or Regist. # <br />/ ~ City Lirease Registration . In'; <br />---, .......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />.........................................* <br /> <br />HEGBANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />..****.........*....*..*.**..*.**......*.* <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />.*...*.*.*.*.*.*.****.**.*.*..*****.*..*** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />