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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAHB--.01\c l <iMN <br /> <br />PHONE ?8&~g.8 66 <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />4:,1 <br /> <br />BWCR <br /> <br />SUBDIVISION <br /> <br />y J/I1i:1/Jr L 0 <br /> <br />()J) )jE <br /> <br />PARCEL I. D,' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addi lion --.Alteration _Repair _Install <br /> _Sign ____Move _Deaolish ..I,,: <br /> .. <br />PROPOSED USE: _Single Faaily _H/F _, of Units _HID <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Depar~ent Approval <br />DESCRIPTION OF WORK: rno-6l<-7 "'-I'I (1f>A'le.:t;;: (Y\OOE<) <br />BUILDING SIZE: X Square Feet, Height <br /> <br />PLUM (~ <br />./ <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />" <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AttP Service <br /> <br />Florida Power Corp, <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BUn.DER <br /> <br /> <br />CONTRACTOR SECTION <br />COMPANY CZ;YJ}:IAlD If) I VI!: inri f. /l10DE( J At:.. <br />State Cert. or Regist. , <br />City License Registration' ~~I <br />......................... ...........*.... <br /> <br />Signature <br /> <br />A/e €!ketuti COMPANY <br />/~ State Cert. or Regist. , <br />City License Registration t <br />.......................................... <br /> <br />PLUMBER ~~. COMPANY :00-ne..s \~ SO'r-S 8..,~h:Y\C1 <br />State Cert. or Regist. ,I J <br />Signature . City License Registration t ~ ~~ <br />- . . .... ...........................~....... - <br /> <br />IIEmAljIGAl. ~/eeed::li.e; COItPAlIY 81"'" ~~ <br />I "State Cert. or Regist. * sr:: f')r., <br />Signature City License Registration , <br />..........~............................. <br /> <br /> <br /> <br /> <br />ornER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />.****..*.*.******.**.**.*....**.*****..... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />