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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />>lf~C;7. <br />p.~ f; 17. '3:{~tJt <br />~J;RMIT.~ER'VICAE" A. g 4 -'7b(0 <br />~~~:S314~< .-t <br />~..L~~~ ,a;;.~ <br />PHONE 7 6; ~ -) '7 Lj 7-V~ !(Jf <br />z.- ;-J; i1. 5 <br /> <br />OWNER'S NAME (~EN /1/ /-I () p <br />- / <br />OWNER'S ADDRESS 3:? 7 "3 :J. [~/ t. c..+/J all r C L E.. <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION V I 1 \:t,~ e Gro Ve _ tl1 H fC(y- k <br /> <br />PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~ew Construction _Addition ---Alteration -.Jlepair _Install <br /> <br />_Sign <br /> <br />-"ove <br /> <br />_Deaolish <br /> <br />~ <br />PROPOSED USE: _SingleF8IIily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant lie Health Departaent Approval <br />DESCRIPTION OF WORK:-*-~ <br />BUILDING SIZE: "----X-- .. Square Feet, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS lie (2) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UlLDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Cf-1 <br />170() -- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />--1IECBARICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fralle _Steel <br /> <br />Valuation of Mechanical Installation Q~'J. <br /> <br />SPECIALlY -ifq~,/~ <br />othe11rflfJ ;;. ,q-11I <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />ROOFING <br /> <br />$ <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />FIRISBED FLOOR ELEVATIONS: FT . <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BllTl.DER <br /> <br />COMPANY Vt.JJrvf"1Q <br />~ .~ State Cert. or Regist. . <br />City License Registration , <br />******* ********************************** <br /> <br />Signature <br /> <br />RT .RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SignAture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />