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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />? l? Fdlf c7V <br />.6 - ;).. / - 7? <br /> <br />OWNER'S NAME. (i~,) 55> 'E 1- L Y\'\. <B Row ,...( <br />OWNER'S ADDRESS g::< 35 ti bl G. E L ~ COo Q-r <br />JOB ADDRESS 4-756 51L VC'1( CIRCI..J..-=:) z' l{ ILL.S ,='- '.3~s5-(4- \ <br />LEGAL DESCRIPTION: LOT(S) BL.oCK SUBDIVISION C \i 14 L 'Fot--r, <br /> <br />PIIONE ~7 '6 () ~ I "6 2. 4- <br />z.. 'H ILL S F L '3 '.3, ~- c+ ( <br /> <br />\/ \ I_LYI c;. <br /> <br />PARCEL I.D,' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />_M/F _' of Units _Mill <br /> <br />_COII8ercial <br /> <br />_Indust. _Swim. Pool _Othe.. <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: r< ~ (r 1ST K A r= D 'YV\ 0 DEL <br />(').1 I Qf <br />BUILDING SIZE: ~ q X 1+:),.f,J.. /2 G b Square Feet, 0 Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: 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 />~LECTRICAL <br />JMECllAHICAL <br />~PLUKBING <br /> <br />$ <br /> <br />100 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />,/ Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: LBlock _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? \./'- <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />C) <br />111L'l~i' Ll <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY c: 'c .L <br />CV\ ~} State Cert. or Regist. , <br />'J ,,, J"') \-1'1. L-'A. City License Registration' <br />****************************************** <br /> <br /> <br />Signature <br /> <br />ELECTRICIAN <br />SiRnature ~ I Ill') Q Ll. <br /> <br />COMPANY exUSSGLL tv' lK'ROLUf\.l <br /> <br />If\] Q.::>\--CYLl.,-^- State Cert. or Regist. # JC n (')() I 0 ~i~ I <br />\I' _. L City License Registration # \ l?, <br />****************************************** <br /> <br />PLUMBER <br /> <br />~ <br /> <br />COMPANY ';< U <::';'<':6 L L. }Yl, J~ H, U l.v I~ <br />/\ f:) State Cert. or Regist.' c:.\2'(:'.D :;Q'l(l (, <br />() 1, Jj 'j,D"LL-V\.... City License Registration , I n'7 <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Q,1YltLL <br /> <br />COMPANY 9 u c;<; t.=-~L 2 IV\ '\'J R (\ l ~j 1\.( <br />~ State Cert. or Regist. 41 C' t1 CD Lt- I;;>'; (?- <br />m "L ~D1.A..~ City License Registration' -7, <br />***********~****************************** <br /> <br />Signature <br /> <br />OTIIER COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />