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... , APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME \-\ l-\ ~ L (" -t W ~ ,<; t PHONE 6~1.o30 L~'\Y'I.~<\f RoC\ of .:it- 10,\ OWNER'S ADDRESS I JOB ADDRESS 9\ Y'l \:... A~ A G0Vl~ LEGAL DESCRIPTION: LOT(S) ~ ) Dq BLOCK SUBDIVISION PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~lteration _Repair _Install _Sign _Move _Deaolish . PROPOSED USE: _Single F8Ilily _KIF _' of Units _K/H _<=<-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: se.We. r I, (\G BUILDING SIZE: x Square Feet, Height RESIDENTIAL : COMMERCIAL : ATTACH (2) PLOT PLANS It (2) SETS OF BUILDING PLANS It (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS It (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECBAHlCAL $ Valuation of Mechanical Installation - ~UKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel Other FINISHED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREA'l YES NO ****************************************** CONTRACTOR SECTION Signature COMPANY State Cert. or Regist. . City License Registration f ****************************************** BUTT.DER F.T .F.CTRICIAN COMPANY State Cert. or Regist. . City License Registration . ****************************************** Sill'nAture PI.tDtBRR 0 W \\, -e.-I[" Signature ){lJ~Q W~ COMPANY State Cert. or Regist. . City License Registration . ****************************************** MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** APPLICATION APPROVED BY PERMIT OFFICER.