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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />(X~q-fI-7-~ <br /> <br />OWNER'S NAME ~ q.L"I!~ ~~~ PHONE 9~/- 7.?bL <br />OWNER'S ADDRESS N?5/ ~bu-~ ,Id ~ <br />JOB ADDRESS ~ L./ A3 LflLJ~LLuO('\D 1)~ <br />LEGAL DESCRIPTION: LOT(S) 29 A BLOCK SUBDIVISION ~/Lc/~~ 6114' <br />PARCEL 1.D.' 3- 2.~-2\ - 0\20 -. o~ - 029 OA (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction -X.Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />-----Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />~M/F _' of Units _M/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />ry ~ ~-1 ~/- <br /> <br />Square Feet, Height <br /> <br />,c/M.f'j~i <br /> <br />X <br /> <br />BUILDING SIZE: <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 />$ =i Ooe) <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~CIIANlCAL <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 />FlIIISBED FLOOR ELEVAITONS: <br /> <br />F'f . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />Bm10llER atIIPAIIY ~_ "2<..b~ ~tA1Lq"e~<: <br />11 /J /~I N' State Cert. or Regis . c..r::.Ci 'f~c;;.r;tJ <br />Signature ~J,-j Cc.. ~ // City License Registration' _ ~_ <br />, *** ************************************** <br /> <br />RT.RCTRICIAN COMPANY .:5',t 5 j~'/_.-: r /'<J ..;::;, c. <br />c;-/ /J /Y ~ State Cert. or Regfst.' e/C ~ZP </5~ <br />SignAture Y~/{r"~f /A. <1'- City License Registration' ,,?'tn:; <br />* *************************************** <br /> <br />PLfIIIlBR \/. t-J1;t. atIIPAIIY <br />SiBnature Az7 7~ Z!.. City Lie <br />/ *********************** **************** <br /> <br />HECBANICAL~' ~ COMPANY -tA (2 C- --.L\ fc:...- <::='6 I JJ c- . <br /> <br />. State Cert. or Regist. . C4DC__o'3.z-<.(Lf7 <br />Signature . .". City License Registration' ;;;:~ "i-3 <br />****************************************** <br /> <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICAnOIl APPIlIlVED.a;--- -.-...-.- -\ C Pf!M!Il;T'^~.... ...7~. ~~ <br />'OOl'-- -\~~.... ~ <br />- - . . ,.,.. loIQ') <br />L.~.....--..,...."'~,-""_."-"~"""-"""",,,,,,,, -,_. <br />