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<br />OWNER'S NAKE S Ar <br />OWNER'S ADDRESS / 'J b S I <br />JOB ADDRESS Lo T I~ (l{u;..;o~~ I-AKe LJ~ JV"e <br />~ P^AS~ <br />LEGAL DESCRIPTION: LOT(S) I a BLOCK ::r:I SUBDIVISION :5/Lvp(J ( nAKS' <br />" <br />PARCEL 1.D.# 3-;1 C. -dll- 0 /bd ~ 00606'-O?~O(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: )<New Construction _Addition -Alteration ~epair _Install <br /> <br />()fZ( i 1o'~ :J-",oVqb <br />U/ ~Clt ( <br />../ J): f'! ~S <br />v"i,~cp RIA~~D!:::tJ PBONE&/~) 9'i/-?3t( <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />____Sign <br /> <br />--"ove <br /> <br />_DeIIOlish <br /> <br />PROPOSED USE: .Lsingle Fallily <br /> <br />____M/F _, of Units ____M/H <br /> <br />____<=<-ercial <br /> <br />____Indust. _Swia. Pool _Other <br /> <br />____Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: S I NJLe FA (\'\ fLy Re<;" <br />BUILDING SIZE: X , ~.2j'r Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUlIJ)ING PLANS & (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$~~OOO <br />/5 (j AMP Service <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />x <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____MECBAlUCAL <br /> <br />$ <br /> <br />3.300 <br />, <br /> <br />Valuation of tlechanical Installation <br /> <br />_PLUMBING GAS sh, NJLe ROOFING <br />TYPE OF CONSTRUCTION: X Block _Fraae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECI' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />................***********.*******.*.**** <br /> <br />B~ CORTRACI'OR SECTION , ~. /1/7_ <br /> <br />BUTT.DER . -?n ... .. COMPANY ~ ~~ f/AJM!.. ~ <br />~ "~/ State Cer67 or Re~i;;t: # -; . . ~.3 Cl:.c C1~ 13s~ <br />Signature r ~~-;.--r-Ol . ~ . City License Registration # IQ~ <br />- *** *.****************.**************** I I' <br /> <br />~- - <br />RT.RCTRICIAR COMPANY -.), 5 K / ~/: / ~ ~~ c <br />~ ,/lh :J_~~_/l State Cert. or Regist.' E'<~Z-" Y.f- <br />SiafUlture ~I'?"/f t1' ~ City License Registration' ,? ~ <br />***.......*.**.*...**.***....*..*********. <br /> <br />PLUtlBER <br /> <br />COMPANY )(/" ~UL 'f- T~4 <br />~ J ~ State Cert. or Regist.' /0' \- <br />U f) v/ City License Registration . I I? <br />.***......*****.*...****.**.....********** ~ <br />COMP~ f. c~--A (C~ CO , <br />State Cert. or Regist. . C-D Co '5'2-yt/j <br />City License Registration' '~cl~ <br />...*.........**.**.*.*.*..**.*.**.******** <br /> <br />Signature <br /> <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />**.***.*..****.**.**********.**********.** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />