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<br />{;? ~fo- i 1 <br /> <br />BUILDING DEPARTMENT . ~~ <br /> <br />OliJIER'S BAKE M Po. ~ Y J T tJ !! P.5CJ dL So... G5 aJy\~!rg 7-- 0 If 5 7 ~ <br />OWNER'S ADDRESS 77--5'1 A~PLI:::- G-ATE:- .Dfl~--- --- <br />JOB ADDRESS ;5 A tV) ~ <br />LEGAL DESCRIPTION: LOT(S) / c9 <br />. <br /> <br />PARCEL LD.' 90 - 'J-S -2. ( - t!)o~'Z' /}o /)(70 - CJ ,()O <br /> <br />,.... <br /> <br />/.APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br /> <br />BLOCKA:Ir! SUBDIVISION A- L tJ 1-1 If. <br /> <br />III L-L /t6-E; <br /> <br />E:S t' " <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --.ftlteration _Repair _Install <br /> _Sign _Kove _DeIIOlish <br />PROPOSED USE: _Single Faaily _KIF _' of Units _K/H <br /> _~ercial _Indust. Pool Jl'c>j{ A?13- 8 L !)G-, <br /> _Swia. _Other <br /> <br />_Restaurant &: Health Departllent Approval <br /> <br />DESCRIPTION OP WRK, 11>. El;;f!. /./;;r~ f?/ f} -'!!t ' <br /> <br />BUILDIIIG SIZE: 10 l\ g , 6.7 Squa e Peet, 7 1 Height _ / ~ <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENER~. .~iI~ <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FO~/"\ A 1"cJ ro tt~ I <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRU~ ~ 0 (~ ~~ $ ',,' --it ' <br /> <br />PERMITS REOUESTrntilr:f')u,.u ~ ~ip <br /> <br />VBUILDIIIG $ 1/-00. Valuation of Totai C~<uctioncq- ~ <br /> <br />_ELEC'l"RIGAL AKP Service Florida Power Corp. W.R.E.C. <br /> <br />---lIEGBANIGAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block. _Fraae _Steel <br /> <br />AL--UM~ <br /> <br />Other <br /> <br />FDIISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? J <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />CONTRACTOR SC~ <br /> <br />~~ QMPAtIY - ~~~~~ <br />State Cert. r Regist. . <br />. ense Registration . <br />......................................... <br /> <br />Signature <br /> <br />RT.F.C'l"RIGIAR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration f <br />.......................................... <br /> <br />KEGllANIGAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />..................................*...*.*. <br /> <br />OTHRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />..............................*....***..*. <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />