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<br />, f"'.' '..~' ,..........'11':> i <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />{6/1eo.o <br />, <br /> <br />P/l~ 0/2. 7-B/h'-(;<i~#11s <br />pf}~ J)/2, 767lzrM.Its- <br />LEGAL DESCRIPTION: LOT(S) '3 BLOCK ~ SUBDIVISION ~-Ph7</) h ldlGA "?-- <br />PARCEL I.D../:2- ,;2&:?-f [)r)3C> 6()~f)() rJt).s (5 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction -^ddition ----Alteration ~epair ~~ <br /> <br />OWNER · S NAKE jA. )/ -;1/ /t-JYt <br />OWNER' S ADDRESS ,39/5 t/ <br />JOB ADDRESS 6.,.:S 9/ if? <br /> <br />PHONE "9i' z - f?~~ c:. <br />91 <br /> <br /> _Sign -'lov"! _Deaolish <br />PROPOSED USE: ~le Faaily -'lIF _' of Units _M/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />Restaurant & Health Depar~ent Approval <br />DESCRIPTION OF WORK: ~ J/"~1Y ~ /~,l~~~~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEBTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br />~F.C1'RIGAL <br />~CHANIGAL <br /> <br />PERMITS REOUESTED <br />$ I.;'; 2te. 2- ,31 Valuation of Total Construction <br />, <br /> <br />20-0 ~ Service VFi~rida Power Corp. <br />S ~ ,~t'lJ -07Va1uation of Mechanical Installation <br />GAS ROOFING SPECIALTY <br /> <br />W.R.E.C.. <br /> <br />!; <br /> <br />--PLUMBING <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 />SianAture <br /> <br />~ <br />,/~ <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br /> <br />.................:::~.~ <br /> <br />~ State Gen. or Regist. . aa~{2-4>S> <br />City License Registration' 5'~ <br />*.************************************** <br />= <br /> <br />Signature <br /> <br />F.T.F.C1'RIGIAN <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />IIJQWIlCAL COHPAllY P-iILL ~~H~ <br /> <br />~ ~ State Cert. or Reg st. ,Cf/AcO C~6) ~ <br />Signature / ~ City License Registration I ,~..5: <br />{ ***************************************** ' <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />I' <br /> <br />i. <br />! <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFPICER. <br />