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<br />. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />LOT <br />OWNER'S NAKE <br /> <br />t' Y\"e II' c. (J <br /> <br />vo.:;,; n + e. C Co) t 'P <br />U<< V <br />/ <br /> <br />PHONE 7 6' f' - J. ! I..( r- <br /> <br />3'1 \? Od-. 8 i-y~ ~? {- hI' .s: -r <br /> <br />S+ r'n 'C- <br />I~.../ ~ <br />LEGAL DESCRIPTION: LOT(S) J.:"( ( '--_- BLOCK <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~New Construction _Addition ----.Alteration -Repair _Install <br /> <br />_Sign <br /> <br />-'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_K/F <br /> <br />_, of Units _K/H <br /> <br />_Comaercial <br /> <br />_Indust. <br /> <br />_Swim. 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 />-"ECBAlUCAL <br /> <br />100 <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <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 _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />...........*.*.*....****.**.*.*.*******.** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration , <br />...*.*.*..******************.************. <br /> <br />Signature <br /> <br />:.:::::~~~ <br /> <br />. <br /> <br />COMPANY 'I<. t:la- ~ r- ~ <br />State Cert. or Regist. t /:0-.$'00006 1/ <br />City License Registration' ) g 7 <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 . <br />.***.****.*~*.**********.***************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />.*..***..*..***********..**..**.*.*..***** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />