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<br />OWNER'S NAKE <br /> <br />APPLICATION FOR PERMIT . <br />CITY OF ZEPHYRBILLS g;..5 - 02 () ~- - / ~ ;). y <br />BUILDING DEPARTMENT Pl'ck ("/Y1$,e 1-: <br />110 7-d'f~~cf'f'5 <br />PHONES; 1> r 24'3 - 32tJ() <br />~2"Z cYJ'/Z~~ PIUI~,j);R. ~ /~h P/'!, Pi 3.3 639- <br />. <br /> <br />~ 2/7 e l:.!f $;:' Z/dP1I Y/ZII/tL.f ~ PI.. 3:J S-~O <br /> <br />f-J? T <br /> <br />.- ~ <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION -rY .5 O}J <br /> <br />PARCEL 1.D.' I) Z -26 .2/- oO!Jo -tJoA-OQ -t/tJ]O <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-A-New Construction _Addition ---A1teration ~epair _Install <br /> <br />_Sign <br /> <br />--"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br />-A.-<=<-ercial <br /> <br />_M/F _' of Units _M/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: 7El~CeJhN()AJICfi170.u .gJfJ1~p <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />.LBUILDING <br />~ELECTRICAL <br /> <br />$ <br /> <br />PERMITS REOUESTED <br /> <br />80; ()tJ {J Valuation of To.tal Construction <br />PS7Z17/1 -# 7215 /It.-l2c;11PY ISJV/:""P <br />/ tJ 0 AMP Service )( Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--1fECllAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBING GAS 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 />BUTT .DD. <br /> <br />CONTRACTOR SECTION <br /> <br />k?~~~ COMPANY FL ljd!l .J}jfrv1t.-"L <br />/1... ' . - (f State Cert. or Regist.' L! G e.. - OJ? 55"9 <br />S/;,vEY '~LL City License llegistration t ;2;), " 0 <br />****************************************** <br /> <br />~ <br /> <br />Signature <br /> <br />RI.RCTRICIAN COMPANY <br />State Cert. or Regist. . <br />SignAture City License Registration . <br />****************************************** <br /> <br />PLmtBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration # <br />.....*.*...***.***.**.*.*.**.*..********** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />