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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />(;;~~ <br /> <br />OWNER'S NAKE [. MPva ~t-e (D((J <br /> <br />OWNER'S ADDRESS 3q({J '30 C halAcei.-( F!d" -#- <br />5,q.,nt LJr ~I <br /> <br />-- <br />PHONE 7 X ~ - :;)..J (/ ~ <br />Ze12hti (hi" J.s I R , <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Co n (I J'Plt: S (g,J; <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_HECllABlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COBSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIBISHED FLOOR ELEVATIOBS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br />Signature Y;1U\JA <br />\ <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY lephuv n1Uj6n r<1 CortSfrLLC+'Ot\. r nc.. <br />\ 11\ " State Cert. or Regist.' C ~(I{)!J511d-. <br />'""I-J..eil~ City License Registration' J,g - { f' r+. <br />.......................................... <br /> <br />RT.RCTRICIAB COMPANY <br />State Cert. or Regist. , <br />SianAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />HECHABICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />............~............................. <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />....................*..*..**...*.........* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />