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<br />\J..SA ~\JS~ ! ~..s <br />OWNER'S NAKE c:..I-/AR,- ESe A 1V,"l VA 1 PHONE ~(:3 JB~-O~~ ~ <br />OWNER'S ADDRESS,;2t..[ LY1.)cile DR, De(A+'-11f.'. "[(. W 2. t)2f..t-/~ 2-8 <br />JOB ADDRESs3 9t,36 Ct/ANCEt 12t-{ Lc)f 'If.:, .D/~,,!(JA.'/ /J/{' 7c-r1I<~IJU((()jR, 33)'fO <br />LEGAL DESCRIPTION: LOT(S) la i. 3Y' BLOCK SUBDIVISION EN.er'CI..~Pp; Ale Rv ~so~ <br />PARCEL LD.' ~l\ - L~ -L\ - DO DO - D D \ DDL.\ \p (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ~epair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deao1ish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF _' of Units ~K/H fA.<?K "pI('iJlif c:.. <br /> <br />_eo..ercia1 <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: PIf~K /J1(Jdc/ 5er- 4.~ <br /> <br />BUILDING SIZE: /2 i X~ i ' If ~ 8' 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 />;2. i. SOo. I...,s;... <br />, <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 />_MECHANICAL <br /> <br />$ <br /> <br />1_!rUD~ <br />. <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel P4/J1<" /J11')i.1F'- Other <br /> <br /> <br />::>I'UlOd AHVJ.ON <br />(padmelS ~o paluJ~d 'padAJ. ameN) <br />.ja~J~ . \! I r <br /> <br />::>I'lBOd AHVJ.ON <br />(padmelS ~o paluJ~d IpadAJ. ameN) <br />Ja~"~-v . C! . r <br /> <br />nleu6JS) <br /> <br />qleo ue al(el <br />e~!.HluapJ se <br />pa~npo~d <br />seq OqM ~o am o~ UMO~ ATTeuos~ S! OqM <br /> <br /> <br />Xn --n-r-",y 6 <br /> <br />/ <br />c:....., " " <br /> <br />F_ ~_ <br /> <br />. - -- <br /> <br />J. <br />