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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />"f( l.f( <br />, .../-" g,3 '7 <br />r;f6 <br /> <br />PHONE ? F? -() {; 3 .z.. <br /> <br />OWNER'S NAME (lf6/c! A !/tr} <br />OWNER'S ADDRESS C;;;f~ ,^~V,?,/ ~ <br />JOB ADDRESS Y>t? /~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION (),/C5/~ <br />O ;a <br />PARCEL I. D.' . Z - Z 6 2. ,; - /:' d 2' t:I ,- 0 cJ ;3 tJ -{XJ (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction _Addition ---..Alteration --.Repair ~Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F <br /> <br />_' of Units ----.Jt/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant & Health Department Approval <br />;j# 7/7 ~ Jc ~~/?, ~C?~ <br /> <br />?c~. /'11 <br /> <br />71 I( <br />Square Feet. t Height <br /> <br />BUILDING SIZE: <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 FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <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 />~CBAIflCAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLuttBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIliISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUTI.DER <br /> <br /> <br />QBlTIlA'::;ECTk'JC? ~~/')?~ <br /> <br />/ / State Cert. or Regist.' 0'0 J'c:JCI )/7 <br />,t.-;Cy City License Registration' 5.3 y <br />*********************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />SianAture <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. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />