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<br />Eo Clf ~ <br />/7 UJ <br /> <br />/ 'l Y:iL <br />So..;J. ~LT4.t <br />LEGAL DESCRIPTION: LOT(S) uziR.. ,.,(7"'3"G'-t<!zh?BLOCK .::LI <br /> <br />PARCEL I.D.' I /"""'/l./---:2/.;-- -2/-/J/])OO,2,/OO -ODSO'1"OOt./ (OBTAIH FROM. PROPERTY TAX HOTICE) <br /> <br />-S-I <br />&f- <br /> <br />5?~;j 9 -p-1Z . <br />~ - I ~;r . <br />~;~~ <br /> <br />... <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTKEHT <br /> <br />OWNER'S NAME L/ fDiA.Jf1R D <br /> <br />OWHER'S ADDRESS (. "If 3' 5" <br />. ~. ./../ tJ 3' .c.;- <br />JOB ADDRESS-....... . rQ.._;;,~ <br /> <br />SUBDIVISIOH ~o&"~J I> T ~-.t;,.. <br /> <br />WORK PROPOSED:~ew Construction _Addition ----^iteration ~epair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: ___Single Faaily <br /> <br />~/F _' of Units _KID <br /> <br />_~ercial <br /> <br />___Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTIOH OF WORK: /' :5-Tc)I!../t(gt <br /> <br />?)" / / D,." c, <br />v <br /> <br />BUlLDIHG SIZE: v' i~ xd Y , <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLAHS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUlLDIHG PLANS & (1) SET EHERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL HEW COHSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />vi~LDING <br />~ELECTRICAL <br /> <br />$L/' 32,93'O~ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E.C. <br /> <br />--1IEGIIAIO.CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIHG GAS ROOFIHG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOH: _Block ___Fraae ___Steel <br /> <br />Other <br /> <br />PDlISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BIJTI.DER <br /> <br /> <br />COHTRACTOR SEr... . ) <br /> <br />COMPANY ':--]/~~(b1/ <br />. --C State Cert. or Regist. . <br />,/g Po" ~ City License Registration f <br />******************************** <br /> <br />Signature . <br /> <br />IU.RGTRIGIAN COMPANY C/~~ ~1) <br />::::~ /~ ~):::- /[;) State Cert. or Regist. . <br />~ (~ I t~&.J City License Registration' <br />*********-******************************** <br />/ <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' <br />****************************************** <br /> <br />Signature <br /> <br />MEGBAHICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />.. <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATIOH APPROVED BY <br /> <br />PERMIT OFFICER. <br />