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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N <br /> <br /> <br />JOB ADDRESS <br /> <br />L . I d Dr: '3, ({ ,IV f; 7 1_ h. <br />LEGAL DESCRIPTION: LOT(S)1~, .~ I e,y; iJ.ya- "BLOCK (OlJSUBDIVISION <br /> <br />PARCEL I. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition -Alteration ~epair ~Install <br /> <br />_Sign <br /> <br />---Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ~ingle Faaily <br /> <br />_KIF <br /> <br />_' of Units ---KIH <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool _Other <br /> <br />_Restaurant Ii Health ~epartaent Approval ~. f <br /> <br />DESCRIPTIotI OF WORX:yJ/f-tJf1.dt( 'me!. ,(CrtJ/lm auif'ij/1d <br /> <br />BUILDING SIZE: X Square Feet, Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~:U1LDING <br /> <br />$ <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 />---KECBARICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLutlBING GAS R()()FING'~PECIALTY <br />/) <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel ( J.. )~ 0 Of Other <br /> <br />FINISHED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l .& <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />RIJTTDD. COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />RT.RCTRICIAN 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 . <br />.......................................... <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. t <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 />