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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />TorY) Co Ie- <br />('11 I ~ I () ~ <br /> <br />PHONE <br /> <br />7~:J. - ~ 535 <br /> <br />OWNER'S ADDRESS <br /> <br />6+ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f <br /> <br />WORK PROPOSED:_New Construction VAddition ---.J\1teration _Repair _Install <br /> _Sign _Hove _DeJIOlish <br />PROPOSED USE: ~ogle FUlily _H/F _, of Units _HID - <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />_Restaurant & Dealth Departaent Approval <br /> <br />DESCRIPTION OF WORK: 0CY'e€K"\ ~OYV\ W / C-onClre~ <br /> <br />BUILDING SIZE: ~~, Ie;';; Square Feet, ~~ 'I D~ight <br /> <br />RESIDEIITIAL: A~l& ~2{ ~T PLAIIS " (2) SETS OF BUILDING PLAIIS " (1) SET ElIERGY FOllIIS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UlLDING <br /> <br />$ <br /> <br />!)~ 35tJ3, <br /> <br />PERMITS REOUESTED <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FrUle _Steel <br /> <br />Other <br /> <br />FIlfISBED FLOOR ELEVATIONS: <br /> <br />F1' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />Bun .DER <br /> <br /> <br />CONTRACTOR SECTIO~ <br /> <br />COMPANY hy 3 <br />State Cert. or Regist. f <br />City License Registration f <br />****************************************** <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />Siml"ture <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration f <br />****************************************** <br /> <br />IlECBANT CAl. <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />************~***************************** <br /> <br />OTHRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY . <br /> <br />PERKlT OFFICER.: <br />