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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />bM/J51 OAJ <br /> <br />PHONE <br /> <br />1\)+ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />bs <br /> <br />BLOCK <br /> <br />SUBDIVISION ~. (f..Ac Ib w \AJl.Z- <br /> <br />PARCEL I.D.' (OBTAIN FROK PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~~ Construction _Addition -^lteration ~epair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Fuaily <br /> <br />_KIF <br /> <br />_' of Units _KID <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />co;Uc~~ I~ <br /> <br />OAt> <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square F~et. <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 />l3 ~O. dO <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 />_KEGBANICAL <br /> <br />$ <br /> <br />Va1uation of Kechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fruae _Steel <br /> <br />Other <br /> <br />FI.liISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />..........*.*******.**.**.**************** <br /> <br />Signature <br /> <br /> <br />7 <br /> <br />CONTRACTOR SECTION <br /> <br />BUTJJlER <br /> <br />COMPANY .l/tJL//J c O~;)' f< <br />State Cert. Or Regist. . <br />City License Registration , <br />.******.****************.*.***.*********** <br /> <br />/'1<60 <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. f <br />SionAture City License Registration , <br />****.**.***.*************..*.*.*.********* <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****...***.************.******..*********. <br /> <br />tlECBANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />******.**.**~*******.**.**.*.*.*********** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />**.***.*.*.***************.****.*.******** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />