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<br />" <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />G fLA-t-J J. Ho (L( ;:, ~ C; <br /> <br />OWNER'S ADDRESS G< D ,~r:.. ;}:L tj s- ~ Ad rz C1v .4 <br />( <br />7" 6 if..s r;~tEE ~~L.opti:. () tl- ' <br /> <br />LEGAL DESCRIPTION: LOT(S) 60 BLOCK <br />PARCEL I.D.' 3t.f- L s--3.J -(JO 10 - Of 300 <br /> <br />IlORK PROPOSED:_lIew Coostructioo ~itiOll --..AlterattOll <br /> <br />_Sign _Move <br /> <br />OWNER'S NAME <br /> <br />PHONE 3S2 -S-~3-17/1 <br />"33 5"# <br /> <br />'2 - f{r(/s-' <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />~ r2-~0 {{s(J2..1 UJ ~...-f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />_Repair _Install <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Feaily <br /> <br />---.Jtl F <br /> <br />_, of Units <br /> <br />~M/H <br />Lother <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Restaurant it Health Departaent Approval <br />DESCRIPTION OF WORK:{4tz-~dZ.-r - '))T; ((11 PM - ~~aJ() ,k?~.- (;II)C~ti12 <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENnAL: ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~~ING <br /> <br />$ <br /> <br />~ C;e>O. <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1IECllANlCAL <br /> <br />$ <br /> <br />Valuation of lIecbanical Installation <br /> <br />_PL~ING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr_e _Steel A- {J ) fp..r --- <br /> <br />PINISBED FLOOR ELEVATIONS: <br /> <br />PT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />Other <br /> <br />YES~ <br /> <br />...**.....................*..*.*.......... <br /> <br />lIilllBl!R a <br />SignaturU <br /> <br />CONTRACTOR SECTION <br /> <br />COIIPANY ~/Z, G 7E~/ <br />~. .~ State Cert. or Regist. . <br />~ ~ (:1 tl... License Registration' <br />......**......**..*..**..**.*.....*.....*. <br /> <br /> <br />RT.RCTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />...................*...*.................. <br /> <br />SiDnAture <br /> <br />PLIDIBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.*......*......**.**........**.....**..*.. <br /> <br />Signature <br /> <br />- <br /> <br />IlECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />*.....**..*...*.**....*.*...**............ <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />....*....*.......*........*..............* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />