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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKJJ4:Lltt h 0'</ t <br />. ( <br />OWNER'S ADDRESS 6 / q ~ <br /> <br />S <br />L <br /> <br />A-p!01LE <br />I IV IV e-f- ~ '\ <br /> <br />PHONE <br /> <br />;7 ?c:J <br /> <br />8-0 / :5 <br /> <br />JOB ADDRESS <br /> <br />:::> il- ,1'71 ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />/ '5 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />'\ <br />0>41( '3IJ-e <br /> <br />PARCEL I. D.' <br /> <br />CJ b - {O <br /> <br />6{)IQC?7- 739 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition ---Alteration _Repair VInstall <br /> _Sign _Move _Deaolish <br />PROPOSED USE: _Single Faaily _KIF _' of Units ---1'l/H <br /> _~ercial _Indust. _Swia, Pool _Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />Arn1- ~ tP1 <br />)D X '-/0 . '1.J:lJ ---- Square Feet. <br /> <br />If) X 40 /J1tJ6/LJ2 <br />I <br />JO Height <br /> <br />tioAJ ~. <br /> <br />DESCRIPTION OF WORK: <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 FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />~UILDING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />/'17s - Valuation of Total Construction <br />, <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Gorp. <br /> <br />W.R.E,C. <br /> <br />-1IECllAliICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />41u 1711 /V(.(/'J'1 Other <br />, <br /> <br />., <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~/ <br /> <br />FDJISHED FLOOR ELEVATIONS: <br /> <br />YES NO <br /> <br />..*..........******.*.....*...************ <br /> <br />'" <br />BUTIBIl ~ CIlIIPARY <br />~ State Cert. or Regist.' - <br />Signature vi ~ity License Registration f <br />*****************.**********.*.*********** <br /> <br /> <br />RT.1l:GTRIGIAN COMPANY <br />State Cert" or Regist. . <br />SianAture City License Registration . <br />.****...*.*.***********..*...****.**.***** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />*******************.********************** <br /> <br />HEGBANICAL COMPANY <br />State Cert. or Regist, f <br />Signature City License Registration f <br />.********.******************************** <br />) <br /> <br />OTll1l:R COMPANY <br />State Cert. or Regist, , <br />Signature City License Registration f <br />************.********.***..*.************* <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />