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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />OWNER'S NAME <br /> <br />DAlOllVLS <br /> <br />OWNER'S ADDUSS.(. or-I,! ...:? tY'J>'/J J()t-fr# /91//. <br />SI9/IJE <br /> <br />R.ft'i <br /> <br />PHONE 7rrj>- 94"</ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION. <br />PARCEL LD.' II-c:lb ,,-~ 1-t:Jtl/CJ- dlt.j/)P. OI'~t:J (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~ew Construction ~ition ---..Alteration -.:Repair _Install <br /> <br />_Sign <br /> <br />---1love <br /> <br />_Deaolish <br /> <br />~ <br />pmPOSED~E: _S~eF~ily <br /> <br />---1l/F _' of Units ---1l/B <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-.:Restaurant 61 Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: J.?E~ ~I/CJ,rl/- ~/J-r# eL9 tJ~ <br /> <br />BUILDING SIZE: /? X /4 ,di/d-. Square Feet,~;',/P Height <br /> <br />RESIDEHTIAL: ATTACH (2) PLOT PLANS 61 (2) SETS OF BUILDING PLANS 61 (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS 61 (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />V;;UILDING <br /> <br />$ <br /> <br />ttJtJt>. //0 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----lIEClWlICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUllBING GAS ROOFING <br /> <br />SPECIALTY . <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />................................*...*...** <br /> <br />RIJTT.DER <br /> <br />Signature <br /> <br />PLUMBER <br /> <br /> <br />/7 () <br /> <br />Signature <br /> <br />COMPANY <br />/ s,tate Cert. or Regist. f <br />~ity License Registration , <br />........***.....*.*...*..*.**..*..*. <br /> <br />/f, 7' <br />, <br /> <br />Signature <br /> <br />COMPANY E>ttJw> P <br />t1 () ~ n L. 1i1... fl State Cert. or Regist. , <br />--..J{JWYGtL ./~Vv City License Registration' <br />....................................****** <br /> <br /> <br />IlECBAHlGAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />..*......*.*..**..*...*....*..*.**.....*.. <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />