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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKL.I:W\iJy C. k.ee~ <br /> <br />OWNER'S ADDRESS S-o 0 1- :l 0 & s-b , <br />i <br />JOB ADDRESS sa W\e., <br /> <br />2-~ f) ~"~,,t' ( is . <br />, f <br /> <br />PHONE g f3 - 18;l - D5-01 <br /> <br />F'L 33j-lj 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) IY I IS-, / ~ <br />81()~ <br />PARCEL LD.' 1/ - ;2 b -;;;L I . ClIft, , <br />I I <br /> <br />BLOCK. ~ I b SUBDIVISION <br />wt5_ <br />/ If I / S : ) b (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---..Alteration _Repair _Install <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single F~ily _M/F _, of Units _M/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> _Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />Pt- IV ().. ~ ~C€/ <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 />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 />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr~e _Steel <br /> <br />Other <br /> <br />FIlUSBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUH.DER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. , <br />SiDnAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />tlECBANI~ COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration . <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 />