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<br />2-- ?... 2.. c;s <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />~40.\JU <br /> <br />OWNER'S NAKK----1Y)arOV)', ~21 VVl \ \'-1 I ('lit,,1- <br />OWNER'S ADDRESS Io(D,~\) m)<'Vv1[)a('~ J:x\~.t. <br />JOB ADDRESS ~VV\ 'L.. <br /> <br />PHONE I 713 ~ - 7:3 D '( <br />7qJrh'),\1I\\~1 fL ~~~.,., <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.0.' <br /> <br />o ~ ... L~- '2-\ - \J \L...Q ~ l')I~)OD . oS~Q <br /> <br />(OBTAIN FROK PROP~ TAX NOTICE) <br />R~-JZ <br />WORK PROPOSED:____New Construction ____Addition ~teration ~Repair ____Install <br /> <br />_Sign <br /> <br />-----",ove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~ingle Family <br /> <br />_KIF <br /> <br />_' of Units ____K/H <br /> <br />____ec:-ercial <br /> <br />_Indust. <br /> <br />____Swt.. Pool ___Other <br /> <br />~Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: S:h \ ~\ 'L R -e. - YCouk- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMKERClAL : <br /> <br />, <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~BUILDING <br /> <br />$,~)~j)g LU <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~GHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical 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 />FDlISHED 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 />BUIIJ)ER <br /> <br />Signature <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration I <br />*****************~************************ <br /> <br />ELECTRICIAN <br /> <br />COKPANY <br />State Cert. or Regist. # <br />City License Registration , <br />****************************************** <br /> <br />SillnlAture <br /> <br />PLUKBER <br /> <br />COKPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />KEGHANICAL <br /> <br />COKPANY <br />State Cert. or Regist. # <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />~ <br /> <br />Signature <br /> <br />COKPANyJ) \~ (tJ\1st.n.H~ ~C <br />State Cert. or Regist. # du L')-U-<:; <br />City License Registration t ?J~ <br />****************************************** <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />