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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE HtlL5f.f TIM i,' TI/E~SIr <br /> <br />OWNER t S ADDRESS 53/ '=" t/-n.... ST <br /> <br />JOB ADDRESS ~ AM E.- <br /> <br />PHONE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1. D.' 11- 2ta... .2 /- 00/ D - ) 2-400 - <1~1fi; FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration -KRepair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _M/F _' of Units _M/H <br /> _<=<-ercial _Indust. _Swia. Pool _Other <br /> <br />_Rest~urant & Health Department Approval <br />EP...~'" ~ <br />DESCRIPTION OF WORK: AJE.0 'RooF I El.e.!!.- Se.~t<!..E. U }>(C~A~e...l ,v6U F1.coell./(;, J ~.u ~EPrtl~5 <br />4~'P A IA.)nN~ <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 />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />_MECBARlCAL <br /> <br />ISO <br /> <br />AMP Service <br /> <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER _ <br /> <br />CONTRACTOR SECTION <br />~ ~~ COIIPANY OE-sree.'''''AR:k ~k . <br />\-C~ State Cert. or Regist. t c>c.J~3S <br />- City License Registration t 0 <br />********* ******************************** <br /> <br /> <br />Signature <br /> <br />/' .;;- ~ ,-.. J <br />RT.F.CTRICIAR COMPANY /,-c:e ,/ e L/~ I' ~ <br />p~~ ~ ~ State Cert. or Regist. t <br />SiQOAtur ' . ~. City License Registration t Id6 <br />****************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****.************************************* <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />***********~****************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />~~L <br /> <br />COMPANY rf!-/f(/i~ R P()lC/~ {- <br />State Cert. or Regist.' I<LqOC/6'Z.-V/ <br />City License Registration' /-, II G <br />*****~************************************ <br /> <br />~ei}- <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />