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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />, , <br /> <br />r r ' " <br />'fRbO' ~~'1b <br />q/.:} <br />PHONE gl ~ -- f tb 3 - :56.6~ <br />~t(r2 rL, 555'1./9 <br />2~ -//11/#/&[ H ~ =?~5c;/1 <br />/ <br /> <br />OWNER I S NAME <br /> <br /><)7e~~ lJoc:e,?l.1'_J- <br /> <br />OWNER'S ADDRESS 1780'/-.8 -J/!/JI-€S TOpo.i."; u'/?'I <br />JOB ADDRESS .6? 3.3 fO.r /J1tJtJ~ ,/)/1, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />06VO <br /> <br />BLOCK <br /> <br />- <br /> <br />SUBDIVISION Sic.. vex oAK J - 012...0 <br /> <br />PARCEL 1.D..03 ~ .26'-),,1 - Of ~o . 00000 .~ 06'10 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~w Construction ---Addition ---Alteration --Repair _Install <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: ~ngle Faaily <br /> <br />---..Hove <br /> <br />_Delio I ish <br /> <br />_M/F _' of Units _M/H <br /> <br />_~ercia1 <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br /> <br />DESCRIPTION OF WORK: C01/.5T~UC'- A/~w SlvVC<CP /:,Q;?,/t--J /Io~ <br />_ /( 8 . <br />BUILDING SIZE: 3.5 X ~b ,/7 G5 Square Feet, /5:0/(.) Height <br />, <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 />~UILDING <br /> <br />~LECTRICAL <br />~CHAlfiCAL <br /> <br />~mm~NG <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />2tfJo <br /> <br />AKP Service <br /> <br />X' Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br /><7 . 00 <br />.-L- 0 () C' <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />V'ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: .LBloclt _Fr8lle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? -2L- <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER" COMPANY 602 eieu'V -F"vC <br />1/- ".,(1 State Cert. or Regist. , "f /r' 'Cc 5-(. :3 c:.. C, <br />Signature ,~~'-- (Jr-'-,,::- City License Registration' I -~ z... 1-. " <br /> <br /> <br />:::::~v-:Lf fJ4 ~.................::::::..~=..;;::~ <br /> <br />State Cert. or Regist. .--1i/Z..Oo I 'Z '[1 7 <br />City License Registration' 2...<:0 1 V"" <br />****************************************** <br /> <br />PLUHB$R t <br />') <br />Signature ~( , <br /> <br />COMPANY A~~tu/c-r ~N ~'ti ;-~ <br />r\ f) ., St:ate Cert. or Regist. ii ...c:.o q J...9q 9 <br />~ City License Registration' ,:If <br />****************************************** <br /> <br />MECHANICAL. ._ COMPANY ...s:o,V'(/:;l J <br />~~ ~ State Cert. or Regist. # <br />Signature ~ -:;. - ... . . City License Registration' <br />~ . .***.***~****************************** <br /> <br />:; .... <br />, () ~ <br /> <br />............ <br /> <br />OTHF.R <br /> <br />'-': <br /> <br />COMPANY ,;j~? eTeUl--TA/C: <br />?-'_~ ~ State Cert. or Regist. , /?-f 00_"5-{ 3<?. C <br />City License Registration # / .~ .J- <br />***************************************** <br /> <br />Signature <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />