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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE~5€./JA I?LA;M Ce/ <br />, <br /> <br />OWNER'S ADDRESS 5 7 ~ 2- 7 L.A '7" c./ C;:) I-J <br />/ <br />)AIYl; <br /> <br />PHONE <br />Co d. ,,"-/' <br /> <br />7'0 F-?d 3/ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />DC:::>VQ <br />PARCEL I. D. t /0 - eX c;;. - ;:2.. ( ~ c) 0 ,/ C) - 0 99' Z? 0 - (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration X'Repair _Install <br /> <br />_Sign <br /> <br />--"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units XM/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Deparblent Approval <br /> <br />DESCRIPTION OF WORK: ,(? C LJ / ;0 €' <br />/ ' <br /> <br />BUILDING SIZE: X <br /> <br />I <br /> <br />E X /::>7/~(' 0A-76r G/~e s <br />,/ <br />Square Feet, Height <br /> <br />A~jJ/'p;>C ;;r.. 0 c:> I c;:; /6 <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--"ECHAIIICAL <br /> <br />.KPLUMB~NG <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />****************************************** <br /> <br />RT.RCTRICIAR COMPANY <br />State Cert. or Regist. f <br />SignAture City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY / d w IJ' <br />State Cert. or Regist. f C Cfi:2 <br />City License Registration f <br />************************************ <br /> <br /> <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration . <br />***********~****************************** <br /> <br />OTIIY.R COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />