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<br />APPLICATION FOR PKRKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />Martha Dunford <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS 4828 20th. St.. 7.~phyrhi"Q ~1 <br /> <br />JOB ADDRESS <br /> <br />Same <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' 13-26-21-01 20-00000-0~qO <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -Addition ---..Alteration ~epair _Install <br /> <br />_Sign <br /> <br />---.Move <br /> <br />~ellolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---.MI F <br /> <br />_, of Units ---.M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swiat Pool _Other <br /> <br />~estaurant & Health Department Approvel <br /> <br />DESCRIPTION OF WORK: Re-roof <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHK.ERCIAL : <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 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 /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-"ECIIAlilCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />x <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREAT <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />~ONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. ,_ <br />City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />SianAture <br /> <br />PLUMBER <br /> <br />COHPANY_ <br />State Cert. or Regist. . <br />City License Registration , <br />****************************************** <br /> <br />Signature _ <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />~---~ <br />2IIIER COMPANY..B.ym;:ln ("nnQf-rllt"'f-inT'l. TnC"". <br />'.1 State Cert. or Regist. #I RC0061648 <br />SillJUlture ~ - . :-,prl1.~ 1 d~n t City License Registrstion . R P 1 .x t;r ~ <br />******.******************************** <br /> <br />APPLICATION APPROVED BY _ <br /> <br />PERMIT OFFICER. <br />