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<br />APPLICAnON FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTHENT <br /> <br />."..-) , I . _ b <br />C~~UL-UJ.-ID-~~ cr " <br />L <br /> <br />OWNER'S NAME cRtX'r$/l.. /IRt-L-- / Jlrl-R- //1lr~,4r~ <br />/ <br />OWER'S ADDRESSLor-/~ t/c23 Z,C:tPfI 7/G RIJJ4--E" gLvA. <br /> <br />PHONE <br /> <br />/'?c2--7.;) '?b <br /> <br />JOB ADDRESS <br /> <br />S /9-/'1 ;C <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />PARCEL LD.' jJ -;(b -.2 /-iJ/:;o-~~t1/.2 D <br /> <br />SUBDIVISIOII . <br /> <br />(OBTAIN FROK PMPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~w Construction ----..Addition ----.Alteration ____epair _Install <br /> _Sign ----1fove ->>eaolish <br />PROPOSED USE: 3~e F_ily --ll/F _' of Units --ll/B <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />____estaurant Ii: Health Departaent Approval <br />DESCRIPnON OF WORK: S'1f,Gp - SC-k...~~U ~OOM-- C-PfRrL'~r <br />~ 9 7'; I <br />BUILDING SIZE: /0 X 7 2> 5:0 Square Feet, 7lJ ~Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />COHKERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />v' <br />_BUILDING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />o?~ bO . D 0 Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--llEClWfICAL <br /> <br />$ <br /> <br />Valuation of tlechanical Installation <br /> <br />_PLUMBIIIG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY. . <br /> <br />TYPE OF COIISTRUC'l'IOII: _Block _Fr~ _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR. ELEVAnOIlS: <br /> <br />PT. <br /> <br />IS PROJEC'l III FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />#~a)KpANY /Jc.~ P <br />~L,~ ~~eL~:;..,o~-:~:~i:.. ~~~D;jJ'-D <br /> <br />, -- <br />......................................*... <br /> <br />R1JT1.DER <br /> <br />F.T .RCTRICIAIiI <br /> <br />SianAture <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................**................. <br /> <br />OTIIF.R <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......*...............*.................. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />