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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OllNER'S RAllB,~~n-l.J P~I/ M~ ~ PII0RE <br />0llNER' S ADDIUlSS 39.. S-o C' h /9dJC ""t . - ii, <br />JOB ADDRESS )6/#7 (j)hl9-/ZT'l- D/2/()!? <br /> <br />7f'o -~2.-// <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.' ~ '/ :J? ~ / N-+--t) <br /> <br />BLOCK <br />HI I~ <br /> <br />SUBDIVISION <br /> <br />#7 <br /> <br />(OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition. ---..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faai1y <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant 5: Hea1t:h DepartJIent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />r/JI!.Y <br /> <br />N(Jd~L' <br /> <br />.S' e---T- 4p <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS 5: (2) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS 5: (1) SET ENERGY FORMS. <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 />F10rida Power Corp. <br /> <br />W.R.E,C. <br /> <br />.-KECIIAlIICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _B1ock _Fraae _Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*****.**********.**....*.**.....*.*******. <br /> <br />'CONTRACTOR SECTION g <br /> <br />BlrrI.DER '4 COMPANY . ~ X~~ <br />~~ / - State Cert. or Regist. . <br />Signature ~ City License Registration' .a... 2. .3 0 <br />.** .********~.*..***.*..*...*..******** <br /> <br />RI.RCTRICIAR COMPANY /Jc~' J1 o+s-/? ;EN c. <br />,/, n /J /7/J State Cert. or Regist. . e So <' 000 G; ,. <br />SiQllAture c:~ U ,..{!.i:::l/ cYU/I- City License Registration' / fl7 <br />************.********************.**.**..* <br /> <br />PLUMBER <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />*****.**********.***.******* <br /> <br /> <br />Signature <br /> <br />MECHARICAL <br />Signature cltuJilJ d.~t<A- <br /> <br />COMPANY ;Jc.e f( (' 4,' <j ::;;1\,/ c, <br />State Cert. or Regist. ' f C /9- Co J? ? r.;- <br />City License Registration' '7.!J- <br />****************************************** <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />**************************************.*** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />