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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE 5T E JI Z.A/ bf'l~ Efl',?/llfAL- /h I//rh <br />'~S"S-) ((Yfl'JT <br />JOB ADDRESS > .# /VI f ff 5> (7 /; oJ V Q <br /> <br />PHONE ($jliJ ? frJ- - /)0 ~ <br /> <br />OWNER'S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I,D.' (OBTAIN FROH PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ~lteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units _H/H <br /> <br />_<=<-ercial <br /> <br />_Indust, <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />/(e LJ/Q'ce- <br />I <br /> <br />& Health Department Approval <br />(; r~ f /J V/h/J-, <br />{ I <br /> <br />_Restaurant <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br />rf. -t /1(/'-'//"1 <br />~ (. T,,- ~ ' ~ PERMITS REOUESTED <br />'Jf'/->C <br />/ <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_BUILDING <br /> <br />Florida Power Corp, <br /> <br />W.R.E,C, <br /> <br />_ELEC'l'RICAL <br />~GlWiICAL <br /> <br />AKP Service <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FI.RISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert, or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert, or Regist, f <br />City License Registration f <br />****************************************** <br /> <br />SignAture <br /> <br />PLUKBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert, or Regist, , <br />City License Registration f <br />****************************************** <br /> <br />MECHANICAL <br />Signature' / <br /> <br /> <br />COMPANY (f) /! <br />State Cert, or Regist, f <br />City License Registration . <br />***********~****************************** <br /> <br /> <br />OTRRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert, or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />