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<br />OWNER'S IWUl Y "1,~ 8sug~~ PHONE <br />OWNERtS ADDRESS /7~5'"/ ~r<2 ~_ p~ <br />BA~. <br />/1J J'r'S e <br />LEGAL DESCRIPTION: LOT(S) g- BLOCK:1.. SUBDIVISION <br />PARCEL 1. D.' :;>--01 (;, - :2. / - 0/ d- A - Oo::xJ CJ - 00 8 d (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:~New Construction _Addition -A1teration ---Repair ____Install <br /> <br />JOB ADDRESS <br /> <br /> <br /> <br />'" <br />. ./t . <br />,~ <br />\ '}~ ~ ,,,.J trl' <br />o;CjI- 756h <br />7?1mP/J <br />tJD <br /> <br />c0 <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDIHG DEPARTMENT <br /> <br />_Sign <br /> <br />--1Iove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: X Single Faaily <br /> <br />~M/F _' of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />F'A/n/L.v #-A- <br />/ <br /> <br />~/rJjL.e <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ ?aOO 0 <br />. <br /> <br />/5 C) AMP Service <br />$ d9aJ <br /> <br />Valuation of Total Construction <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_ELECl'RlCAL <br /> <br />--.JfECHA:NICAL <br /> <br />_PLUMBING <br /> <br />GAS <br />Je'Bloclt <br /> <br />Valuation of Mechanical Installation <br />X 5I.1~fL€ <br />_ ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />FDUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEcr IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />RT.RCl'RlCIAR COMPANY S ~ 5 e/~c- r LA .kt::.- <br />'J2.. fa ~ State Cert. or Regist.' e-<. ~ z~ (/S- <br />Siarulture /f..';' ~ City License Registration' 3 ~ <br />~ ** ************************************** <br /> <br />Signature <br /> <br />J<) ell <br /> <br />COMPANY A~Pvt..f ~ <br />~ State Ceri.. or Regist.' /0 (;1 ~ <br />l City License Registration' /? <br />****************************************** . <br /> <br />COMPANY --/J. e-C -J1 (C~ (~'t IN C . <br />State Cert. or Regist. f C-~Co .'32-~4J <br />City License Registration * a.S.3 <br />****************************************** <br /> <br />PLUMBER <br /> <br /> <br />Signature <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />