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<br />OWNER'S NAME <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />,/\",11 <br />)0 <br />'7/~" 9or~ <br /> <br />'1? ~j ~ <br />to 97 9. - - l' l!'YIJ S <br />SAIL? t! n s Abo v~ <br /> <br />PHONE <br /> <br />PA~ <br /> <br />PARCEL I. D. t <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:-$-New Construction ~ddition _Alteration --Repair _Install <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_D~olish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Unitli _H/H <br />V SPA '01\J <br />.A-Swfil. Pool _Other <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK:J.N 7 /llJUV J (!c)AJ el2t5.l'~ SfJ A <br />BUILDING SIZE: 1 X J if , q J.. Square Feet, Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL <br /> <br />_BUILDING <br /> <br />_ELEC'1"RI.GAL <br /> <br />---1fECllANI.CAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />q 5)"0 qf1 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PL~ING <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnONS: <br /> <br />BIITTllER <br /> <br />Signature <br /> <br />Rl.RC'1"RI.CIAN <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />HECHARIGAL <br /> <br />Signature <br /> <br />OTIIRR <br /> <br />Signature 1. /' <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />!<QIl11lAl;IOIl SECTION ./ <br />COMPANY ::r; h.., f. ~ ~ .// <br />State Cert. or Regist. t R PO () h" I.. :J....? <br />City License Registration t J Lj.. 'f"J <br />****************************************** ~ <br />ANY /14 ~ /1('1;,/ ) E{ (' ( fiLl tJr c /' <br />State Cert. or Regist. t Et;> (1) ( 3~ 1/- V- <br />City License Registration . / ~ ~ <br />****************************************** . <br /> <br /> <br /> <br />/' <br /> <br />- ., <br /> <br />COMPANY ), tv t . <br />State Cert. or Regist. t <br />City License Registration , <br />************************************* <br /> <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration t <br />****************************************** <br /> <br />COMPANY 11ft!-. a trtJ~ Y 1 tl t"'9- Ii) J <br />State Cert. or Regist. . <br />City License Registration' 1Jlaa <br />****************************************** ! { , '^- <br /> <br />~ 01 ~ joJf ioJro <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />