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<br />Ali!~41 .l~'~~' 1 <br />APPLICATION FOR PERKlT) ~ _ 1- ~, l)I I () U -/ 19:.D <br />CITY OF ZEPHYRBILLS q '. (J U )S <br />BUILDING DEPARTMENT (;,~/ <br /> <br /> <br />OWNER'S NAKE C~~.....l j~r /2 cJI~~ <br />OWNER'S ADDRESS.tICJ ~ &'I- / g- ~ 7 <br />&,' r"7 <br />JOB ADDRES-f 7 'l? 14- c1<~ A-v i <br />LEGAL DBSCRIPTI"":/LOT(~----L 7 ... ~ BLOCK SUBDIVISION <br />PARCEL I. D.' 3 i:{-:;.A5-::':"~-~ ~ - C> / 3 ex::> - g 7 (OBTAIN <br /> <br />PHONE 7go-;t - I g- ~ C:' <br />~tr5 5 ~ ..;-~ 7- <br /> <br />2. <br /> <br />~~::: T~:;:::-! <br /> <br />WORK PROPOSED:_New Construction -"ddition -"Iteration ~epair _Install <br /> _Sign ~ove _Deaolish <br />PROPOSED USE: _Single Faaily _KIF _' of Units ~K/H <br /> _ec-ercia1 _Indust. _Swia. Pool _Other <br /> <br />---l<estaurant & BeaHh Oepar_n~ Approv~ <br /> <br />DESCRIPTION OF WORK: 5'e... f V-~ h1 ~ L t!:. <br />I <br />BUILDING SIZE: ;).. Y X s-C, /5"" ~~quare F~et, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLARS & (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 />PERMITS REOUESTED <br /> <br />_BUILDING <br />! ~ELECTRlCAL <br />)LHECIIARlCAL <br />~PLUK8~NG <br /> <br />$ <br />::z C9 c..) <br /> <br />$ <br /> <br />AItP Service <br /> <br />Valuation of Total Construction <br />X Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Va1uation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUC'l'lON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlRISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />****************************************** <br /> <br />BUTI.DRR <br /> <br />l<l!JITRA'::':EClJ: ~ ;::; J / 111;/ s <br /> <br />/ J f- /?/J State Cert. or Regist. . /" <br />Signature VJ~LJ~LL./ ..P'Y City License Registration' ~ <br />. ****,,************************************ <br /> <br />IURCTRICIAII COIIPAIIY /l G(,? J? ~ ~~ C- <br />~--=::: /'"1/ 17 ~ /7 /7/7 s~ate Cert. or Regist. E -s 000 00 Gd <br />_!__,--e ~!1:{:.:!::~!-'2J..J..K-~~ C1ty License Registration f I f5-7 <br />****************************************** <br /> <br />COMPANY It" II ~ ~ J/ <br /> <br />, A~ State Cert. or Regist. . <br />Signature ~a;:r-- ~ l . City License Registration . <br />***** *********************************** <br /> <br />IIECIIAlHCAL , /',1 COIIPAIIY 4c e p ~ f ~ <br />/"/Ut",1t13 fj{, State Cert. or Regist. C i9 co] q 70-)- <br />Signature C--I ~ ~'. J2. (/t-C/1/ City License Registration' t.; ~ <br />************~***********************.***** <br /> <br />PLUMBER <br /> <br />/41 II r <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />