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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S NAME <br /> <br />Tn. u".c.:t- {}u.lr. o~ <br /> <br />7J1.~ V1"l t' lA. \\~ <br />7'1 P ~'1V" In'\ \ \~ I <br />7~'P'^'t '(' h\ ll!. I <br /> <br />PHONE Sl3/ jSZ. ~u r~ <br />FL 3~5"4-0 <br />PL <br /> <br />c:..2..\ L. - ., ~ ~tru+. <br /> <br /> <br />~L\ It . 1 \-\J\ ~trtL--t I <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />OWNER t S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />\ \'7lD.. 2.l- DblD - Ilp100. O\Ri1 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br />Q-~ <br />_Alteration ~Repair _Install <br /> <br />WORK PROPOSED:_New Construction _Addition <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_, of Units _M/H <br /> <br />_C~ercial <br /> <br />_Indust. <br /> <br />_Swim. Pool ___Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~BUlLDING <br /> <br />$ 4. ItJOD,OD <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />F10rida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllAMICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Instal1ation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTIO~ <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. # <br />SiQn~ture City License Registration # <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />t1ECHANI~ COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />*************~**************************** <br /> <br />OTHRR COMPANY M'~ \ Bat" UHfc.JrUl t\ ~ "'1 1 V\ e- <br />State Cert. or J~egi,st,.' ?li <br />Signature City License Registration # <br />***************************************.** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />