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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />1'\. i \ <br /> <br />(.( <br /> <br />JOB ADDRESS <br /> <br />E n"\e r- c. l ~ rJD ~ It... -\- L <br />.~ q ~ 0 ~ f\ n"\ ~ + h Y .& <br />SA-me..--- <br /> <br />(-) l)f f <br />~)CI' <br /> <br />PHONE I ~ ~K'-~ll{ \" <br /> <br />LOT <br />OWNER'S NAME <br /> <br />OWNER' S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~:;D <br /> <br />1.4'1 >, <br />I ,) <br />1,-' ..---/ BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction ~ddition ----A1teration ____Repair ____Install <br /> <br />____Sign <br /> <br />--IIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _S ingle Faaily <br /> <br />--III F <br /> <br />_' of Units _M/B <br /> <br />_Comaercial <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 />~ELEcnuCAL <br /> <br />100 <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECBAHICAL <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 />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />::::~;:r$ <br /> <br />. <br /> <br />COMPANY)( ~ avv r ~ <br />State Cert. or Regist. "l!SOOOot:> II <br />City License Registration i ) g 1 <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration t <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration f <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />