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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />~ , <br /> <br />OWNER'S NAME <br /> <br />+>A-LJ L J'l (;. f2LErl <br /> <br />PHONE ~J? - 21rK-;;L99.9 <br /> <br />OWNER'S ADDRESS .s l./.5..;l. <br />JOB ADDRESS SJI9""c... <br /> <br />IO~ .<;+- <br /> <br />. <br />2... J:+ l LLS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Hove _Deaolish <br />PROPOSED USE: _Single Faaily _H/F _, of Units _H/H <br /> ,.,- <br /> _eo..ercial _Indust. _Swia. Pool ~ther <br /> <br />_Restaurant & Health Depart:lllent Approval <br />, , <br />DESCRIPTION OF WORK: U'f-ILJi-y 5h LiD <br /> <br />BUILDING SIZE: <br /> <br />~X~Ot <br /> <br />/1.ttJ 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 />~UlLDING <br /> <br />PERMITS REOUESTED <br /> <br />$ c><.,OOo,O<:) <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllANICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PL~ING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FlRISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BIJII.Dm ~ COMPANY I Y1. nOML 0 vJf\ e.e. ' <br />}1 State Cert. or Regist. . <br />Signature ' ...R'\.l\ Q O/Y\. City License Registration . <br />****************************************** <br /> <br />Rl.RCTRIClAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />****************************************** <br /> <br />SiMaAture <br /> <br />PLUHBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />~ <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />