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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />(/J <br /> <br />LOT <br />OWNER · S NAKE~ IrY\ e...r t\ ~ ~ <br />S~~O d-.- <br /> <br />JOB ADDRESS ~ A ffi !2:- <br /> <br />OWNER · S ADDRESS <br /> <br />~C> \ Y\ -\- ~ ~ 0 (' r0. <br />f\ i'J\ "t:- t- h Y L~ 1"" CAJ 1'\ V <br />I <br /> <br />PHONE <br /> <br />, 'f g t ~ d- ( L ( <:- <br /> <br />LEGAL DESCRIPTION: LOT(S) 4- 'k 4 '/7 BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL J.D.' <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction --^ddition -Alteration ~epair _Install <br /> <br />_Sign. <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />..---Jtl F <br /> <br />_' of Units _HID <br /> <br />_Cogaercial <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 />~ELECTRICAL <br /> <br />100 <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block. _Fraae _Steel <br /> <br />Other <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />FlHISHED FLOOR ELEVATIONS: <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />:.:::~~~ <br /> <br />. <br /> <br />COMPANY'l<. t2d ~ r- ~ <br />State Cert. or Regist. t f::.-S OOOot!> Ii <br />City License Registration t } g 7 <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration' <br />***********~****************************** <br /> <br />OTHER COHPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />