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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />lOT <br />OWNER · S NAKE <br /> <br />E rY\ r-.(' ,.j ol. <br />'~<:"1 <= 0 d-.. <br />SA r<"\ ~ <br />LEGAL DESCRIPTION: LOT(S) ~L.( <br /> <br />PD i n t -G C by" p. <br />A~<::.t-h\,S.T (....)"'11 <br />7 ( <br /> <br />PHONE <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.t <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:ANew Construction ----..Addition ---..Alteration ---.Jtepair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S ingle Family <br /> <br />~/F <br /> <br />_' of Units ----.Jl/H <br /> <br />_C0B8ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COMMERCIAL : <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 />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />~ELECTIUCAL <br />--1fECBANlCAL <br /> <br />100 <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED 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 />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />==~~~~ <br /> <br />. <br /> <br />COMPANY'l<. c;:2d ~ r ~ <br />State Cert. or Regist. . l:--so"'O~>t:> 'I <br />City License Registration , } g 7 <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration # <br />****************************************** <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration , <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />