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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE ;::: 12ft /Vel ~ ?~ tv '2 f:- (2. <br />OWNER'S ADDRESS ~~ OJ.. 5 I () rJ..,.. S r <br />JOB ADDRESS ~~e6 /0<..1. ST <br /> <br />PHONE 7g~-L '5/ "2 <br /> <br />2&/I(~?h;/( ~) r:-( <br />/ ' <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL LD.' //-d-..b-:l./ - 00/0 -1l?d.OO <br /> <br />D Cl0 'D. <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ~teration --.Jtepair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: vSingle Faaily <br /> <br />_H/F <br /> <br />_, of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Swill. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />J/l/fMt:.L Ck-,A(Lu4C <br /> <br />A/r C 1*-/1"(: <br />I <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 FORKS. <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 />-LELECTRICAL <br />hEGHAlfICAL <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />,; Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Hechanical 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 />FIlITSHED 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 />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist" , <br />City License Registration , <br />...................*...*..........******.* <br /> <br />Signature <br /> <br />==;2 COMPANY <br />State Cert. or Regist. # <br />an 0--- ~ ~ ~ City License Registration' <br />***.....*............*........*...*..*.*.* <br /> <br /> <br />PLUMBER. COMPANY <br />State Cert" or Regist" , <br />Signature City License Registration . <br />~...7..;. ..... ........................*..... . <br /> <br />~ ~/ / COMPANY &ks4(CI /I~ <br />1'-1, State Cert. or Regfst. ,. . Y;t(, ~7 <br />Signature .' . City License Registration , ~ D <br />............................*............. <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />.............*.*.......................... <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />