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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAME <br /> <br />well o~/,./ J)Qf/o/~<J4PAJ/-' <br /> <br />PHONE <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />C:;-S/,f] <br /> <br />~ 2/ocfl, <br /> <br />LEGAL DESCRlPfION: I.OT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D,'I(--";<G-~~-oCJ~CJ~ t90S-;>r;}O-c7.;LS-'""'O (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -.ftlteration ~epa.ir _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units ~/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />( <br />DESCRIPTION OF WORK: I ~ At p. C t9 eJ !:.s, r- cJ 4# ~ .? ,/V <br />. <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 />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IEaIAliICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBIIiG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COIiSTRUCTIOIi: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDJISHED FLOOR ELEVAITOIiS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />Signature <br /> <br />COKPAIiY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />RIITIJ1RR <br /> <br />F.T.RCTRICIAR /" COMPAIiY I(~C';; lut: 1:7 C/C~/Il./IJ4 ~L i:?('RC7 C;"O)Nf/\'. <br />"r/ . ;) /' ) ~?' State Cert. or Regist. . <br />SiQOAtur~/ I-cJ f,-",,,{ C./Lect_'H,-c(t2~f City License Registration' c) 7;<, <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br /> <br />COMPAIiY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />COMPANY ~A)$~/ <br />State Cert. or Re st.' <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />KECllARICAL <br /> <br />CJo.rL/ /:z <br />/-'3 dJ-. <br /> <br />OTIIRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />