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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE "Do ~ b n \~*t <br />OWNER'S ADDRESS .5 Jeep,! ~/o~ ~U <br />Lot t:t 9 cJ <br /> <br />.~--- <br /> <br />PHONE <br /> <br />ItfY- k. <br /> <br />JL- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br />WORK PROPOSED: ~ew Construction _Addition <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />_Alteration _Repair ____Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_D~olish <br /> <br />PROPOSED USE: ~ngle Faaily <br /> <br />_M/F <br /> <br />_, of Units ____M/H <br /> <br />_eo..ercial <br /> <br />____Indus t. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health DeparbRent Approval <br />DESCRIPTION OF WORK: Sc.Y'e Ph <<ro("V} <br />BUILDING SIZE: ~x '2, 19 d.. Square Feet. '3 i 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 />~lNG <br /> <br />()tJ <br />$d.750- <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KEGlWfICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br /> <br />BUILDER <br /> <br />GOKPANY '- lJmJndfY) <br />~t!J!~ State Cer<. or Regist. . CD,;;1(.,iJ <br />City License Registration . <br />****************************************** <br /> <br /> <br />Signature <br /> <br />F.T.F.CTRIGIAR <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />SilmAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />**..............*******.....*.......***..* <br /> <br />Signature <br /> <br />KEGHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />***********.~*.****.******.***.**.**.*.*.* <br /> <br />Signature <br /> <br />OTRF.R <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration I <br />******************.**..*************.***** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />