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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME ~ffiCJJ\ ~ ~~ PHONE 78. <9 -8(s<( <br /> <br />OIlIIER'S ADDIIESS ~<0; t LIce, ~'~~~~ ~. ~::>t.b~~I,4~<D/ 2f1 4 <br />JOB ADDRESS AD - j. '?~ fic1y'( lib _ _ , ?hft ,'r ~ ~,11 - j <br />LEGAL DESCRIPTION: LOT(S) oLJ f3 BLOCK~4;UBDIVISION 0 3/0 <br />PARCEL 1.D.,03 -0'2(P-c;)/",031?J -()C)C)6C> -~ (OBTAIN FROH PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install <br /> _Sign _Hove _Deaolish <br /> ~single . ...LH/H <br />PROPOSED USE: Feaily _H/F _' of Units <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />mMd '1.f I'1l1JfYJ?.I' 3luJ - tyJ <br /> <br />BUILDING SIZE: dR X .5p., /S 9fS Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COKKERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~BUILDING <br />~ELECTRlCAL <br />~CIIANlCAL <br /> <br />PERMITS REOUESTED <br />$ .Btt1>7 Valuation of Total ConstrUction <br />/50 AKP Service Florida Power Corp. ~ W.R.E.C. <br />S / ~!?tJ Valuation of Mechanical Installation <br /> <br />--2-PLUHBING GAS IlOOFING <br /> <br />SPECIALTY <br /> <br />nPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIBISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS 'PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COIIPANY Dl.l~ <br />State Cert. or Reg t.' <br />Y License Registration . ~~ <br />***************************** <br /> <br />Signature <br /> <br />=~ ' ~ COMPANY 0__. t\ ,--~o..f)-) <br />~ ~r J~ State Cert. or Regist. t <br />-= - _~......- r/lL-..., _ _ City License Registration' 17D <br />****************************************** <br /> <br />PLUMBER ~ COHPANY.:Cl\~f}Y-;~~a.lYL, <br />/ A State Cert. or Regist.' v <br />Signature 7~---..... City License Registration t cO 7 b <br />/ ****************************************** <br /> <br />HECBANI~ g: COMPANY~~ aOJ..JJ L!!JQ <br />_;.2 I Dl State Cert. or Regist. , <br />Signature j6)~V;/{eb... ~ City License Registration' J'7 <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />