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<br />APPLICATION FOR PKRKIT <br />CITY OF ZEPHYRlIlLLS <br />BUILDING DEPARTMENT <br /> <br />~C~ <br />l~Z ~ c, ~.~ <br />9-~3 -?7 <br />(8"/-1) <br />PlloNE--Zf 3 - ;;. 'I/o <br /> <br />( <br /> <br />OWNER'S NAKB tJ~ <br />OWNER'S ADDRESS 37 b V i <br />JOB ADDRESS SA f"1 (j- <br />LEGAL DESCRIPTION: LOT(S) S-9,t,O BLO(.~i>SUBDIVISION J~h4~-, <br />PARCEL l.D.' 63- a {~- ~, - 6/30 -oo()O~- o.tl"Qo (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />~k~ <br />jJ A./'l LJ( g- <br /> <br />WORK PROPOSED:____New Construction ~ddition ---^lteration ____Repair _Install <br /> _Sign --"ove ->>e.ollsh <br /> . <br />PROPOSED USE: _Single FaaUy --"'F _' of Units _M/H <br /> _C~ercial - Indus t . _Swill. Pool _Other <br /> <br />Restaurant & Health DepartJllent Approval <br />DESCRIPTION OF WOItK: dA.t rJ- -1J.u/ a~/ <br /> <br />BUILDING SIZE: 1 () X 10 , J tJ <br /> <br />Square Feet, / Jc), Height 8" <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />AnAL1I (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 />PERMITS REOUESTED <br /> <br />-y'BUILDING <br /> <br />$ <br /> <br />;J./btJ.OO <br /> <br />Valuation of Total Construction <br /> <br />~LECTRICAL <br /> <br />AM.P Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--"EGHAIIICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />~. <br /> <br />Other <br /> <br />FIIUSBED 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 />BUIWER ~ COKPANY <br />/7/1 I State Cert. or Regist. . <br />Signature ~~ ' J City License Registration' <br />.......................................... <br /> <br /> <br />EI.ECTRlClAN COHPANY <br />State Cert. or Regist. , <br />Sianature City License Registration , <br />.......................................... <br /> <br />PLUMBER COHPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />.......................................... <br /> <br />IIIGIIANIGAL COMPANY <br />State Cert. 01' Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />OTRER COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />