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<br />.. <br />. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />LOT <br />OWNER'S NAME <br /> <br />FD)C <br />33~\p <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />h\A l A- c.. t-\ 'I 1 E <br /> <br />~ f<.. . <br /> <br />JOB ADDRESS SA m -e- <br />LEGAL DESCRIPTION: LOT(S) 3l:. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />~ove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Faaily <br /> <br />~/F <br /> <br />____, of Units ____M/H <br /> <br />____COBmlercial <br /> <br />_Indust. <br /> <br />_Swim. Pool _Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~ELECTRICAL <br /> <br />100 <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrUle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />::::IAN~ ~~ COMPANY")( ~ a~ r etff <br />State Cert. or Regis t. # f::.-j' C) CJ()c t:} 1/ <br />u e x. ~ V J 62p.JV City License Registration' )€.7 <br />****************************************** <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration t <br />***********~****************************** <br /> <br />2nmR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />