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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE <br /> <br />E J1'ltrfi It! tJO /",1 <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />OWNER'S ADDRESS <br /> <br />Lef <br /> <br />hLf <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition --.Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---.Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F8IIily <br /> <br />_M/F <br /> <br />_' of Units ---.HIH <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />C&I1/'ffl-e Sid b <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 />~UlLDIRG PERMITS REOUESTED <br />$ 1<; (JtJ6() Valuation of Total Construction <br />_ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. <br />---1IECllAlfIGAL $ Valuation of Mechanical Installation <br />_PLUMBING GAS ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel <br /> <br />Other <br /> <br />PIlIISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />LJo lei <br /> <br />BUILDER <br /> <br />Signature <br /> <br />19vo <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. . <br />SianAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />ttEGllANICAL COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />