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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />7Z/,}-13V1 <br />". 7'8'3.- t.f 4C'C) <br />l{~/--~17 <br /> <br />OWNER'S NAKE Se b~olJ <br /> <br />~ory-, /:as <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS 6 \ \ 'B' \ "6 It> SiR... ;r <br />JOB ADDRESS bll'8 \'f)-p.,. ~1Jt.;:Y, <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I,D.' /y~ J?--dJ- Q/o~ - OSbC"C'-oe7<? (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :LNew Construction _Addition -lUteration -..Jlepair _Install <br /> _Sign. _Move _Deaolish <br />PROPOSED USE: _Single Faaily ---1t/F _' of Units _M/H <br /> _ec:-ercial _Indust. _Swia. Pool Lother <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: \3u; , <>l <br />BUILDING SIZE: I 6 X I ;) <br /> <br />stotJ:\~'" <br />/9 ;) <br /> <br />bu', \cl \ klJ ' <br />Square Feet. 25.. I 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 />_BUILDING <br /> <br />$ <br /> <br />Jfoc <br /> <br />PERHI.TS REOUESTED <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 />---1tECllAlilCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'ION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECl IN FLOOD ZONE AREA"l <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BUn.DER COKPANY <br />State Cert, or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br /> <br />Rl.RCTRICIAN COMPANY <br />State Cert, or Regist, . <br />Siooature City License Registration , <br />.......................................... <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert, or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist, , <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />