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<br />,r;. <br />~bb' K"qry <br />/'1')' "J <br />\} <br />PHONE ~d2 -5".:2/-- 39& g <br /> <br />OWNER t S ADDRESS f? 0/3 cr:;( /2 (/1 .5a-n An -fo n w pc r <br />,/ <br /> <br />S//ver- O/f-K'f (JIll:; q e- <br />V' <br />LEGAL DESClUPTION: LOT(S) -:#- 3 BLOCK SUBDIVISION .s;/v~ rr Otf~ Vt II~<"L-- <br />PARCEL LD.' 03-,2 6 -2-1 -02tJ6 -00 OOT) -003'0 (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: ~w Construction _Addition ----Alteration _Repair _Install <br /> <br />APPLICATION FOR PERHIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t S NAKE <br /> <br />'PeTe- ,e~, J..err <br /> <br />JOB ADDRESS L b f:# 3 <br /> <br />PROPOSED USE: <br /> <br />_Sign <br /> <br />~le <br /> <br />---"ove <br /> <br />_Deaolish <br /> <br />F8Ilily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_K/H <br /> <br />_<=<-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: l1"e fA) :2 ~ for V Re S I ;/ ~ C -e" <br />, / <br />BUILDING SIZE: 2- 2 X 5:"5: ~ I 3S- Square Feet, .2 8 Height <br /> <br />RESIDERTIAL: 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 />PERMITS REOUESTED <br /> <br />/BUILDING <br />~ELECTRICAL <br /> <br />$ <br /> <br />'8 ~ ()OO <br />I <br /> <br />Valuation of Total Construction <br /> <br />:2. 0 0 AMP Service <br /> <br />X Florida Power Corp. <br />, <br /> <br />W.R.E.C. <br /> <br />~CllARICAL $ <br />~UMB~NG <br /> <br />3 800 - <br /> <br />Va1.uation of Mechanical Installation <br /> <br />GAS <br /> <br />~ROOFING <br />--iFraae _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />Other <br /> <br />FDITSHED FLOOR ELEVATIONS: ::< " F1'. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? L <br />YES NO <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br /> <br />COIIPAIIY~~!h-ML ~~ <br />V-;/- /). b? /...... / State Cert. r Regist. , 00 I.f If <br />~ /j ,~A;.... , City License Registration' 2 0'12- <br />t7 ****************************************** <br /> <br />COMPANY Fir s-l C4 Sf E /e G fr-/~ <br />State Cert. or Regist. , 67:; ~7 <br />City License Registration' } <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />ciu ,,' COMPANY ( f 7:? .IJ /I; <br />,d----. d eJ /;/ ;J State Cert. or Regist. t <br />'/?~Ur ...-D'M City License Registration' <br />****************************************** <br /> <br /> <br />Signature <br /> <br />tlECBANICALa6 ~ COMPANY J4: c S f-I<=q! ~/fC <br />, A ,-~ State Cert. or Regist. . <br />Signature i/ r::::fA' ( ~ City License Registration' <br />~ ****************************************** ~ <br /> <br />OTIIRR IZ COIIPANY ~ -4~ . tLe.- -W~ <br />/.d /1 /J fl.:...d State Cert. or R st.' . (70 l{t{ 8/8' <br />Signature ~~ C~~ City License Registration # 2- 0 'i 2- <br />r ~ ****************************************** <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />