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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />a/fl <br />I ')-./ I <br /> <br />0IlIlER' S MAIlE t! 1hti'J. eO. *' At.!e7lLy C!.&ft7Ee.. PHONE (/1.3 ) 1ft1-/pS5 Jt 110 h';L- <br />OWNER'S ADDRESS 356~ Ee-/<i L J.. /9 AJ~ <br />JOB ADDRESS SI9 ftf € <br />LEGAL DESCRIPTION: LOT(S) -1/ cf .;:J... BLOCK SUBDIVISION <br />. <br /> <br />PARCEL 1. D.' ~ 1- ,;2t.:.- 02/- /f'n-tJ - n / trtJ (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: L./'Single Fallily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant lie Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />PArd; Jl10deL .seT-if <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 lie (2) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UlLDIRG <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECllABl.CAL <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 _Fr8lle _Steel <br /> <br />Other <br /> <br />FI.RISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BllTl.DER ~ rolifRA::;ECrIO~ o(~ <br /> <br />~~ ,,~_ I~ State Cert. or Regist.' --U <br />Signature 1..1 YC /f.lJ,.e..u City License Registration' cJ.~ 0 <br />************ * ************************** . - <br /> <br />F.1.F.CTRICIAR COMPANY ... --Llee- f!&~ <br />~/ f),() /)/) State Cert. or Regist. t <br />Signature <. ~ V.:J...e.-evOUfl- City License Registration 1 / Y 7' <br />****************************************** <br /> <br />PLUMBER COMPANY .~ ~~ <br />State Cert. or Regist. 1 - 0 <br />Signature City License Registration f ;J. ::J .30 <br />************************* <br /> <br /> <br />/} O/J ~. <br />COMPANY .1a-~ ~ <br />State Cert~or Regist. 1 <br />City License Registration , <br />****************************************** <br /> <br />7-S <br /> <br />MECHAIUCAL <br />Signature ~ IS $ C7tUZ- <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />