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<br />APPLlCAnON FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKERT <br /> <br />OWNER'S lWmOAlL W^ 1 ~~ PHONE ~7S~- <3'410 <br />OWNER'S ADDDSS 73'35 r~1UL till;:=> 'L-"lttLl..S <br />JOB ADDRESS OAIL 12JN .~~ ee0C <br /> <br />LEGAL DESCRIP'llON: LOT(S) BLOCIL--SUBDIVISION <br />PARCEL I. D..--..1if - t 5 - Z I - t:J{)OO .- rn 5Lf) '-0/1 D (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ---Addition ---..Alteration .--Jlepair _Install <br /> <br />_Sign <br /> <br />--'love <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single F_ily <br /> <br />---.J4/F _' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />.--Jlestaurant Ii: Health Departaent Approval <br />DESCRIPTIOII OF WORK: .~ rip JEe(~kl<v~ WGLL- <br /> <br />BUILDIIIG SIZE: <br /> <br />x <br /> <br />~uare Feet, <br /> <br />Height <br /> <br />DSIDEIITIAL: ATTACH (2) PLOT PLAIIS Ii: (2) SETS OF BUILDIIIG PLAHS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDIIIG PLAHS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COIISTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~UILDIIIG <br />~ELECTRICAL <br />--lIEClWlICAL <br />~UHBIIIG <br /> <br />$ Valuation of Total Construction <br />~ Service KFIorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of lIechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF OOliSTRUCTIOII: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDJISIIED FLOOR ELEVAnOIlS: <br /> <br />F'I' . <br /> <br />IS PROJEct III FLOOD ZOIlE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRActOR SEctION <br /> <br />BIJTl.DRR <br /> <br />COIIPAIIY <br />State Cert. or Regist. . <br />City License Registration . <br />....................................... <br /> <br /> <br />Signature <br /> <br />COIiPANY gj)jJ AAlN r;~cre~L <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />/4-(" ( <br />. <br /> <br />PLUHBER COIIPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />IlECBARICA.L COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration * <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />.......................................... <br /> <br />APPLlCAnON APPROVED BY PERMIT OFFICER. <br />