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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />a;c.. ANt! fIo 1/!-1 ~O NJ <br />OWNER'S ADDRESS (? 0 .'~O)<. ~;;"''f~- Dftclti c'ry <br />6 G-~"A.Js l-.o <br /> <br />LEGAL DESCRIPTION: LOT(S) ~S BLOCK SUBDIVISION G~cI ~/VI);V S <br />PARCEL I. D.' 7j Lf - L s- - 'L.-t - 0 0 10 - 0 I :1 ~ 0 - S-r (OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />PHONE3; ~2... - S.:t 3 - /7 II <br />33~U <br /> <br />JOB ADDRESS <br /> <br /> <br />(Z.- . <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: _Single Faaily _KIF _' of Units +K/H <br /> _~ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESClUPTIOR OF 1IOllK: . ~r:..u f7 /Vl If! ~-o ",) <br />BUILDING SIZE: .;.aJl. 91' 17.1'. _Square Feet. Height <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 />$ <br /> <br />Valuation of Total Construction <br /> <br />:t-ELEr:rRICAL <br />hCHANICAL <br />,+-PLUKB~NG <br />TYPE OF CONSTRUCTION: <br /> <br />I ::>-c) <br /> <br />AMP Service <br /> <br />~ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of lIechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Block <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />YES <br /> <br />t <br /> <br />PINISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.**.....**..***..**.*.*...*****.*******.** <br /> <br />CONTRACTOR SECTION <br /> <br />COIIPAIIY ~ /J? /1' oS <br />. ~ State Cert. or gist.' <br />VSignature CJor--- Ll. City License Registration' '~ 9'" <br />*. ...*.***************..**************. <br /> <br />COMPANY j)c.<L. !1.e--P hIS t2 J- 4-1""{;0 ~ 5#'c. <br />./J /J() State Cert. or Regist. . F c>0(30C:> i <br />((:) ..eff 01A.~ City License Registration . f a 7 <br />.**.....*.***.********t.****.************* <br /> <br />PLIDIBER COMPANY ~~f/ M. // .,s- <br />. ~ /J/1r1 State Cert. or gist.' <br />V Signature ~~~ City License Registration' L) 't" <br />* ****.*.*********.********************** . <br /> <br />COMPANY 4,- ~ R eA2h'rc-'!1- '~_fj~rl() ~ Ai c. , <br />State Cert. or Regist. telf CO~}? S('J' <br />City License Registration . __ <br />.**..*.**.*~**************.*...*********** <br /> <br />RIITTllER <br /> <br />RI.RCTRICIAN <br />SionAture C~ <br /> <br />MECHANICAL _ f /J <br />Signature ~ f3..aJl O'W..... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.*.**..**.**************.**.**********.*** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />