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<br />. " <br /> <br />. . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILIS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME E/.57??f.s c. 0 /;1 C'./)ICA-( Ce/J/ .:TEA::: <br />OWNER'S ADDRESS ? () ~7J (.i /!-C{ 1;> l. VI? <br />JOB ADDRESS Yf/.:2</ 0 AJ~r;1rJ 7cA-y J26)A-..P <br /> <br />PHONE <br /> <br />I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---Alteration ~epair _Install <br /> <br />-4..Sign <br /> <br />____Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />~<=<-ercial <br /> <br />_M/F <br /> <br />_, of Units _MID <br /> <br />____Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: fo#.r?/aiCT .s~,4 - //JA.PU7)ZUf~O <br />BUILDING SIZE: X Square Feet, 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 />eR.:f"60~ <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 />--1IECBANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_1 <br /> <br />TYPE fuP <br />FINI5 ~.--. <br /> <br />\S <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Lock _Fraae _Steel Other <br /> <br />YES <br /> <br />.x <br />NO <br /> <br />_FT. IS PROJECT IN FLOOD ZONE AREA 'I <br /> <br />...................................... <br /> <br />~ COMPANY <br />~ ;;;!"".J? . State Cert. or Regist. , <br />Signature ~ ~t.e/' City License Registration ,.2 <br />......................................***. <br /> <br />RT.RCTRICIAN // . COMPANY /fi?? t/. ~:, <br />I . State Cert. or Regist. , <br />/ City License Registration , <br />........*.*..*.*...................*..*.** <br /> <br /> <br />BIJTI.DRR <br /> <br /> <br />'70- <br />l <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.....................*.............**..... <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration , <br />.........................................* <br /> <br />OTRRR <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 />